SEIJIRO NISHINA PSY.D/LMFT
NPI 1487715611
Marriage & Family Therapist in San Jose, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since December 12, 2006

1101 S WINCHESTER BLVD, SUITE A-101, SAN JOSE, CA 95128(408) 800-5366 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Seijiro Nishina Psy.d/lmft NPPES

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

SEIJIRO NISHINA PSY.D/LMFT (NPI 1487715611) is an individual marriage & family therapist in San Jose, California, licensed in California (MFC50945) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1487715611

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameSEIJIRO NISHINACredential: PSY.D/LMFT

Location Address1101 S WINCHESTER BLVD, SUITE A-101San Jose, CA 95128-3901

Mailing Address1101 S Winchester Blvd Ste P296San Jose, CA 95128-3904 · (408) 800-5366

Phone(408) 800-5366

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateAugust 4, 2023

NPPES CertifiedAugust 4, 2023

✔ NPI 1487715611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFC50945

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1101 S WINCHESTER BLVD, San Jose, CA 95128

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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

Seijiro Nishina Psy.d/lmft 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, 2026.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2026Opt-out affidavits renew automatically every two years unless cancelled