SHELLY SARKISIAN AMFT
NPI 1134697642
Marriage & Family Therapist in Santa Clara, CA

Q: What is Shelly Sarkisian's NPI number?

The NPI number for Shelly Sarkisian is 1134697642. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Q: What is Shelly Sarkisian's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Shelly Sarkisian enrolled in Medicare?

No. Shelly Sarkisian has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shelly Sarkisian was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2018Opted out of Medicare · through Jan 1, 2028

1171 HOMESTEAD RD STE 220, SANTA CLARA, CA 95050(833) 256-4225(833) 256-4225 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shelly Sarkisian Amft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY SARKISIAN AMFT (NPI 1134697642) is an individual marriage & family therapist in Santa Clara, California, licensed in California (10336) and active in the NPI registry since November 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1134697642

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHELLY SARKISIANCredential: AMFT

Location Address1171 HOMESTEAD RD STE 220Santa Clara, CA 95050-5485

Mailing Address1171 Homestead Rd Ste 220Santa Clara, CA 95050-5485 · (800) 660-9443 · Fax (833) 256-4225

Phone(833) 256-4225

Fax(833) 256-4225

Sole ProprietorNo

Enumeration DateNovember 2, 2018

✔ NPI 1134697642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 10336

Definition

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.

1171 HOMESTEAD RD STE 220, Santa Clara, CA 95050

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Shelly Sarkisian Amft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA MARTINO APCC

Marriage & Family Therapist