Provider Demographics
NPI:1508668328
Name:SHETH, NIYATI N (MA)
Entity type:Individual
Prefix:
First Name:NIYATI
Middle Name:N
Last Name:SHETH
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:NIYATI
Other - Middle Name:A
Other - Last Name:GANDHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:800 W EL CAMINO REAL STE 180
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2586
Mailing Address - Country:US
Mailing Address - Phone:437-998-2879
Mailing Address - Fax:
Practice Address - Street 1:800 W EL CAMINO REAL STE 180
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2586
Practice Address - Country:US
Practice Address - Phone:437-998-2879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15561101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health