Individual provider Active NPI

Soraya Susan Behbehani

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1033299540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT37836 Issued in CA
Practice address
5850 Oberlin Dr
Suite 330
San Diego, CA 92121-4719
Phone
(619) 920-8892
Fax
(858) 638-1957
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMFT37836 CA Primary

Addresses

Primary practice location

5850 Oberlin Dr
Suite 330
San Diego, CA 92121-4719

Mailing address

5850 Oberlin Dr
Suite 330
San Diego, CA 92121-4719
Phone (619) 920-8892

Other identifiers 1

IdentifierTypeStateIssuer
018564-01MedicaidCA

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
LMFT37836CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033299540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 OBERLIN DR",
            "address_2": "SUITE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214719",
            "telephone_number": "619-920-8892",
            "fax_number": "858-638-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 OBERLIN DR",
            "address_2": "SUITE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214719",
            "telephone_number": "619-920-8892",
            "fax_number": "858-638-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHBEHANI",
        "first_name": "SORAYA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT37836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018564-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.