Individual provider Active NPI

Tanya M. Gulevich, L.M.F.T.

  • Marriage & Family Therapist
  • Los Altos, CA
National Provider Identifier
1952787475
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC49460 Issued in CA
Practice address
146 Main St #215
Los Altos, CA 94022
Phone
(650) 213-6419
NPI assigned
Aug 6, 2015
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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 MFC49460 CA Primary

Addresses

Primary practice location

146 Main St #215
Los Altos, CA 94022

Mailing address

146 Main St #215
Los Altos, CA 94022
Phone (650) 213-6419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49460CAMDMarriage & Family Therapist
MFC49460CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1952787475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MAIN ST #215",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "94022",
            "telephone_number": "650-213-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MAIN ST #215",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "94022",
            "telephone_number": "650-213-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULEVICH",
        "first_name": "TANYA",
        "middle_name": "M.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC49460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.