Individual provider Active NPI

Carmel T Ross, MFT

  • Marriage & Family Therapist
  • Castro Valley, CA
National Provider Identifier
1932317245
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43438 Issued in CA
Practice address
20200 Redwood Rd
Suite #6
Castro Valley, CA 94546-4312
Phone
(510) 909-4712
Fax
(775) 295-7110
NPI assigned
May 18, 2007
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 43438 CA Primary

Addresses

Primary practice location

20200 Redwood Rd
Suite #6
Castro Valley, CA 94546-4312

Mailing address

3253 Seagrams CT
Hayward, CA 94541-3532
Phone (510) 909-4712

Other practice location 1

1266 14th St
Oakland, CA 94607-2247
Phone (510) 273-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
43438CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1932317245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 SEAGRAMS CT",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413532",
            "telephone_number": "510-909-4712",
            "fax_number": "775-295-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20200 REDWOOD RD",
            "address_2": "SUITE #6",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464312",
            "telephone_number": "510-909-4712",
            "fax_number": "775-295-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1266 14th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946072247",
            "country_code": "US",
            "telephone_number": "510-273-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CARMEL",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.