Healthcare Provider Details

I. General information

NPI: 1932940137
Provider Name (Legal Business Name): BARRAGAN PROFESSIONAL MARRIAGE AND FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 PAGE MILL RD STE 200
PALO ALTO CA
94306-2075
US

IV. Provider business mailing address

425 PAGE MILL RD STE 200
PALO ALTO CA
94306-2075
US

V. Phone/Fax

Practice location:
  • Phone: 408-766-4290
  • Fax:
Mailing address:
  • Phone: 87-664-2904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR BARRAGAN
Title or Position: CEO, CO-OWNER
Credential: LMFT
Phone: 408-766-4290