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TODD BLACK LICENSED MARRIAGE AND FAMILY THERAPIST PC
NPI 1528671674
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Mateo, CA

Active since August 28, 2020
120 N EL CAMINO REAL, SAN MATEO, CA 94401(650) 260-8564 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Todd Black Licensed Marriage And Family Therapist Pc NPPES

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

TODD BLACK LICENSED MARRIAGE AND FAMILY THERAPIST PC (NPI 1528671674) is a healthcare organization registered as a mental health (including community mental health center) in San Mateo, California and active in the NPI registry since August 2020. The organization lists Todd C Black, President, as its authorized official.

NPPES Registry Identity

NPI1528671674
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTODD BLACK LICENSED MARRIAGE AND FAMILY THERAPIST PC
Location Address120 N EL CAMINO REALSan Mateo, CA 94401-2791
Mailing Address120 N El Camino RealSan Mateo, CA 94401-2791 · (650) 260-8564
Phone(650) 260-8564
Organization SubpartNo
Authorized OfficialTodd C BlackPresident · (650) 260-8564
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1528671674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
120 N EL CAMINO REAL, San Mateo, CA 94401
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Other Providers at the Same Location NPPES 5

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

MRS. LAURA JEAN YU LMFT
Marriage & Family Therapist
120 N EL CAMINO REAL
SAN MATEO, CA 94401
San Mateo County (650) 576-5146
CATHERINE HAUETER MA, LMFT
Counselor (Mental Health)
120 N EL CAMINO REAL
SAN MATEO, CA 94401
San Mateo County (650) 458-7462
MELISSA RISSO LMFT
Marriage & Family Therapist
120 N EL CAMINO REAL
SAN MATEO, CA 94401
San Mateo County (650) 295-0919
MRS. KERA BURDICK LMFT
Marriage & Family Therapist
120 N EL CAMINO REAL
SAN MATEO, CA 94401
San Mateo County (650) 576-5146
ROSALYN CHA LCSW
Social Worker (Clinical)
120 N EL CAMINO REAL
SAN MATEO, CA 94401
San Mateo County (650) 576-5146

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 Todd Black Licensed Marriage And Family Therapist PC's NPI number?

The NPI number for Todd Black Licensed Marriage And Family Therapist PC is 1528671674. It was assigned to this organization in the NPPES registry on August 28, 2020.

Where is Todd Black Licensed Marriage And Family Therapist PC located?

Todd Black Licensed Marriage And Family Therapist PC is located at 120 N El Camino Real, San Mateo, CA 94401. The listed phone number is (650) 260-8564.

What is Todd Black Licensed Marriage And Family Therapist PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Todd Black Licensed Marriage And Family Therapist PC was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.