Shannon Susanne Warming, MFT-INTERN

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

IMF 53422 Issued in CA

Practice address

101 Jose Figueres
San Jose, CA 95116

Phone

(408) 347-3134

NPI assigned

May 14, 2007

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 names 1

• Miss Shannon Susanne Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972719524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JOSE FIGUERES AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162022",
            "telephone_number": "408-347-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JOSE FIGUERES",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95116",
            "telephone_number": "408-347-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARMING",
        "first_name": "SHANNON",
        "middle_name": "SUSANNE",
        "name_prefix": "Mrs.",
        "credential": "MFT-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "IMF 53422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "TAYLOR",
            "middle_name": "SUSANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Calkins Ward, M.D.
• Tina Ward
• Suniti Warey, PA-C
• Karin Warfel
• Aiman Waris, PA-C
• James Brian Warne, DPM
• Lisa Ruth Warner, LCSW 26925
• Warren a Steiner DDS, Inc.
• Cassandra Warren
• Daphne Ann Warren

• Counseling Psychologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.