Celestine Lynn Faeth, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 43722 Issued in CA

Practice address

3663 Pacific Avenue
Livermore, CA 94550

Phone

(925) 667-2727

Fax

(925) 449-2684

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Celestine Lynn Malfatti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tri Valley Haven for Women

  • Community/Behavioral Health Agency
  • Livermore, CA
  • NPI 1790979284
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1023208204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 PACIFIC AVENUE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94550",
            "telephone_number": "925-667-2727",
            "fax_number": "925-449-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 PACIFIC AVENUE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "94550",
            "telephone_number": "925-667-2727",
            "fax_number": "925-449-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAETH",
        "first_name": "CELESTINE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 43722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTINE",
            "last_name": "MALFATTI",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jon Fajardo
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• Jasmine Faldu, DMD, MS
• Ralna Fan-Agutos

• Marriage & Family Therapist in Livermore, CA
• Providers in Livermore, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.