Maya Contardi

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2400 County Center Dr Ste B
Santa Rosa, CA 95403-3004

Phone

(707) 566-0170

Fax

(707) 568-5445

NPI assigned

Nov 29, 2021

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1962169797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 BELGLEN WAY",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954725013",
            "telephone_number": "707-294-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COUNTY CENTER DR STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033004",
            "telephone_number": "707-566-0170",
            "fax_number": "707-568-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTARDI",
        "first_name": "MAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417168949",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agomezhernandez@daacmail.org",
            "affiliation": "Y",
            "affiliationName": "Center Point, DAAC",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mcontardi@daacmail.org",
            "address_1": "2400 County Center Dr Ste B",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954033004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Giac Donati Consiglieri, MD
• Joann Elaine Consiglieri, MFT
• Consonus Healthcare
• Constace Gibson, MFT LLC (Constance Gibson, MFT)
• Stephanie Constantine, A.S.W
• Tori Eugena Conte
• Fred W Contreras, MSN, APRN, BC FNP
• Cathy Conway, LCSW
• Emily Lai Conway, M.D.
• Kevin M Conway, P.T.

• Addiction (Substance Use Disorder) Counselor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.