AZIZI SHAUTAY GUPTON (NPI# 1942834692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942834692 |
| Entity Type | Individual |
| Full Name | AZIZI SHAUTAY GUPTON |
| Credential | MA |
| Practice Address |
245 11th St San Francisco CA 94103-3732 |
| Mailing Address |
1153 Oak St San Francisco CA 94117-2216 |
| Practice Telephone | 4154319000 |
| Mailing Telephone | 4154319000 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
245 11TH ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508974791 | Melissa Anne Jethanandani | Nurse Practitioner | 245 11th St, San Francisco, CA 94103 | 2006-08-28 |
| 1609473735 | Ethan Huffman | Nurse Practitioner | 245 11th St, San Francisco, CA 94103-3732 | 2020-10-01 |
| 1700492212 | Janice K Yu | Marriage & Family Therapist | 245 11th St, San Francisco, CA 94103-3732 | 2020-09-21 |
| 1629699137 | Joel Estrellado | Licensed Psychiatric Technician | 245 11th St, San Francisco, CA 94103-3732 | 2020-05-06 |
| 1649818295 | Marquita Thomas | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-12-13 |
| 1467094383 | Roshawn Mathews | Licensed Vocational Nurse | 245 11th St, San Francisco, CA 94103-3732 | 2019-10-11 |
| 1215595012 | Chenice A Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1790343507 | Shirley Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1215498670 | Tiffany M Andrade | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-03-28 |
| 1548720576 | Tam Nguyen | Community Health Worker | 245 11th St, San Francisco, CA 94103-3732 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819329 | Justin Leigh Schreiner | Marriage & Family Therapist | 2140 Pierce St, San Francisco, CA 94115-2214 | 2020-10-19 |
| 1295333904 | Kelly Kiyomi Pong-der | Marriage & Family Therapist | 679 18th Ave Apt A, San Francisco, CA 94121-3822 | 2020-10-14 |
| 1639777543 | Graham Gallivan | Marriage & Family Therapist | 1200 Gough St Unit 4c, San Francisco, CA 94109-6614 | 2020-10-13 |
| 1700484029 | Melissa Mary Liptak | Marriage & Family Therapist | 2901 Webster St, San Francisco, CA 94123-4005 | 2020-10-09 |
| 1750988390 | Niki Nicole Sujata Khanna | Marriage & Family Therapist | 1699 Market St Apt 622, San Francisco, CA 94103-1327 | 2020-10-07 |
| 1821604976 | Helen Kalanithi | Marriage & Family Therapist | 584 Castro St Unit 3077, San Francisco, CA 94114-2512 | 2020-09-23 |
| 1770199648 | David Ford Peck Jr. | Marriage & Family Therapist | 1738 Union St Ste 302, San Francisco, CA 94123-4425 | 2020-09-16 |
| 1053925404 | Alison Suzette Poff | Marriage & Family Therapist | 245 11th St Ste 1, San Francisco, CA 94103-3732 | 2020-09-02 |
| 1154935930 | Jasmin Paula Littlefield | Marriage & Family Therapist | 555 Cole St Ste 6, San Francisco, CA 94117-2860 | 2020-08-31 |
| 1619589447 | Rima Sueishi Miyagawa | Marriage & Family Therapist | 447 Sutter St Ste 429, San Francisco, CA 94108-4630 | 2020-08-21 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.