Active NPI
Vicki Lynn Vinculado
- Marriage & Family Therapist
- Daly City, CA
National Provider Identifier
1952736951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 99478
- Practice address
- 350 90TH St FL 3
Daly City, CA 94015-1879 - Phone
- (415) 370-1271
- NPI assigned
- Sep 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 99478 | CA | Primary |
Addresses
Primary practice location
350 90TH St FL 3
Daly City, CA 94015-1879
Mailing address
725 Price St
Daly City, CA 94014-2163
Phone (650) 301-3303
Other practice location 1
725 Price St
Daly City, CA 94014-2163
Phone (650) 301-3303
Other practice location 2
2780 Junipero Serra Blvd
Daly City, CA 94015-1634
Phone (650) 985-7016
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
| License | State | Type | Specialty |
|---|---|---|---|
| 99478 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daly City Peninsula Partnership Collaborative | Mental Health | Current | Accepting new patients |
Locations
725 Price St
Daly City, CA 94014
Phone (650) 301-3300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Daly City, CA
- NPI 1891532891
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1952736951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 PRICE ST",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940142163",
"telephone_number": "650-301-3303",
"fax_number": "650-992-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 90TH ST FL 3",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940151879",
"telephone_number": "415-370-1271"
}
],
"practiceLocations": [
{
"address_1": "725 Price St",
"address_purpose": "LOCATION",
"city": "Daly City",
"state": "CA",
"postal_code": "940142163",
"country_code": "US",
"telephone_number": "650-301-3303",
"fax_number": "650-992-3030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2780 Junipero Serra Blvd",
"address_purpose": "LOCATION",
"city": "Daly City",
"state": "CA",
"postal_code": "940151634",
"country_code": "US",
"telephone_number": "650-985-7016",
"fax_number": "650-985-7019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCULADO",
"first_name": "VICKI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "99478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.