MEDICARE: SARAH ANN GRATO LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	106H00000X	Marriage & Family Therapist	123187	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5696	OTHER	CA	APCC
2	109647	OTHER	CA	AMFT
3	123187	OTHER	CA	LMFT

General Provider Information

NPI Number	:	1790255875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ANN GRATO LMFT

Provider Business Mailing Address
First Line	:	1555 PARKMOOR AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2407
Country	:	US
Telephone Number	:	408-282-0402
Fax Number	:	408-282-0400

Provider Business Practice Location Address
First Line	:	1555 PARKMOOR AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2407
Country	:	US
Telephone Number	:	408-282-0402
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2018
Last Update Date	:	01/28/2026

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