Individual provider Active NPI

Abigail Whiteside, MFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1093916934
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48587 Issued in CA
Practice address
1904 Franklin St Ste 300
Oakland, CA 94612-2921
Phone
(650) 823-2493
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 48587 CA Primary

Addresses

Primary practice location

1904 Franklin St Ste 300
Oakland, CA 94612-2921

Mailing address

1904 Franklin St Ste 300
Oakland, CA 94612-2921
Phone (650) 823-2493

Other practice location 1

445 Bellevue Ave
Oakland, CA 94610-4923
Phone (650) 823-2493

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
48587CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1093916934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 FRANKLIN ST STE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122921",
            "telephone_number": "650-823-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 FRANKLIN ST STE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122921",
            "telephone_number": "650-823-2493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Bellevue Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946104923",
            "country_code": "US",
            "telephone_number": "650-823-2493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "ABIGAIL",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.