Individual provider Active NPI

Anita J Mukherjee, EDD

  • Community/Behavioral Health Agency
  • Los Altos, CA
National Provider Identifier
1972031144
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
4966 El Camino Real Ste 224
Los Altos, CA 94022-1458
Phone
(650) 690-2362
Fax
(650) 490-4938
NPI assigned
May 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

4966 El Camino Real Ste 224
Los Altos, CA 94022-1458

Mailing address

4966 El Camino Real Ste 224
Los Altos, CA 94022-1458
Phone (650) 690-2362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627003101 CA Practitioner - Clinical Psychologist 2668741141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savant Care IncGroup PAC ID 8325363989, 8 clinicians

Practice addresses (Care Compare)

4966 El Camino Real
Suite 224
Los Altos, CA 94022-1458
Phone (650) 690-2362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Savant Care Inc Community/Behavioral Health CurrentSince Jun 1, 2017 Accepting new patients
Savant Systems Inc. PastSince Jun 1, 2017 Accepting new patients

Locations

4966 El Camino Real
Ste 224
Los Altos, CA 94022
Phone (650) 690-2362

445 S Figueroa St
Fl 31
Los Angeles, CA 90071
Phone (424) 425-1232

3200 E Guasti Rd
Ste 100
Ontario, CA 91761
Phone (877) 414-7739

1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799

30211 Avenida de las Bandera
Ste 200
Rancho Santa Margarita, CA 92688
Phone (877) 421-1711

500 Capitol Mall
Ste 2350
Sacramento, CA 95814
Phone (888) 635-6347

580 California St
Fl 12
San Francisco, CA 94104

580 California St
San Francisco, CA 94104
Phone (415) 215-1766

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972031144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4966 EL CAMINO REAL STE 224",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221458",
            "telephone_number": "650-690-2362",
            "fax_number": "650-490-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 EL CAMINO REAL STE 224",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221458",
            "telephone_number": "650-690-2362",
            "fax_number": "650-490-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHERJEE",
        "first_name": "ANITA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.