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SYLVIA PETITT MFT
NPI 1265561237
Marriage & Family Therapist in Santa Clara, CA

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
4633 OLD IRONSIDES DR, SANTA CLARA, CA 95054(661) 868-6100(661) 868-6133 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sylvia Petitt Mft NPPES

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

SYLVIA PETITT MFT (NPI 1265561237) is an individual marriage & family therapist in Santa Clara, California, licensed in California (41532) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1265561237
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSYLVIA PETITTCredential: MFT
Location Address4633 OLD IRONSIDES DRSanta Clara, CA 95054-1807
Mailing AddressPo Box 1000Bakersfield, CA 93302-1000 · (661) 868-6601 · Fax (661) 868-6666
Phone(661) 868-6100
Fax(661) 868-6133
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 5, 2007
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1265561237 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 · 41532
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.
4633 OLD IRONSIDES DR, Santa Clara, CA 95054
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sylvia Petitt Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022548965
PECOS Enrollment IDI20250207001510
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sylvia Petitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
Same address
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

LAURA DAWN CUSHMAN MSW, LCSW
Social Worker (Clinical)
4633 OLD IRONSIDES DR
SANTA CLARA, CA 95054
Santa Clara County (503) 407-2470
JACKELINE BALAREZO-RUVALCABA
Social Worker (Clinical)
4633 OLD IRONSIDES DR, STE 304
SANTA CLARA, CA 95054
Santa Clara County (626) 899-0213
SARAH BARAKAT
Marriage & Family Therapist
4633 OLD IRONSIDES DR
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sylvia Petitt's NPI number?

The NPI number for Sylvia Petitt is 1265561237. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Sylvia Petitt located?

Sylvia Petitt practices at 4633 Old Ironsides Dr, Santa Clara, CA 95054. The listed phone number is (661) 868-6100.

What is Sylvia Petitt's specialty?

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

Is Sylvia Petitt enrolled in Medicare?

Yes. Sylvia Petitt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sylvia Petitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sylvia Petitt reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sylvia Petitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sylvia Petitt was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.