Madahi Gizeh Macias

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

136016 Issued in CA

Practice address

7426 Cherry Ave Ste 210-624
Fontana, CA 92336-4221

Phone

(909) 265-4566

NPI assigned

Jan 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• A Change in Trajectory, Inc.

  • Behavior Analyst
  • Van Nuys, CA
  • NPI 1750646667
  NPD (past)

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1023555653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 CHERRY AVE STE 210-624",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364221",
            "telephone_number": "909-265-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 CHERRY AVE STE 210-624",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364221",
            "telephone_number": "909-265-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "MADAHI",
        "middle_name": "GIZEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hisham Maassarani, CRNA
• Andrew Ellis Macelroy Jr., RN
• Alan Enrique Machado, DDS
• Diane Macias
• Eduardo Pedro Macias, M.D.
• Douglas K. Mack, MD
• Tara Nicole Mackie, LCSW
• Heather J Maddox, RN, CRNA
• Nancy Madi
• Erica Firman Madiedo, M.A., CCC-A

• Marriage & Family Therapist in Fontana, CA
• Providers in Fontana, 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 21, 2023; 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.