Individual provider Active NPI

Aaron R Testard I, MFTI

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1023209004
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT45320 Issued in CA
Practice address
2006 Dwight Way Ste 103
Berkeley, CA 94704-2633
Phone
(510) 763-0308
Fax
(866) 488-0555
NPI assigned
Aug 6, 2007
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC1379 CA
Marriage & Family Therapist 106H00000X MFT45320 CA Primary

Addresses

Primary practice location

2006 Dwight Way Ste 103
Berkeley, CA 94704-2633

Mailing address

2006 Dwight Way Ste 103
Berkeley, CA 94704-2633
Phone (510) 763-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC1379CAMDProfessional Counselor
MFT45320CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1023209004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 DWIGHT WAY STE 103",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042633",
            "telephone_number": "510-763-0308",
            "fax_number": "866-488-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 DWIGHT WAY STE 103",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042633",
            "telephone_number": "510-763-0308",
            "fax_number": "866-488-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTARD",
        "first_name": "AARON",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPC1379",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT45320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.