Heftsi Assaf, PSY.D., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC40062 Issued in CA

Practice address

13201 San Pablo Ave Ste 316
San Pablo, CA 94806-3965

Phone

(510) 869-5009

Fax

(510) 237-2961

NPI assigned

Feb 27, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104953538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 SAN PABLO AVE # 316",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063952",
            "telephone_number": "510-869-5009",
            "fax_number": "510-237-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 SAN PABLO AVE STE 316",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063965",
            "telephone_number": "510-869-5009",
            "fax_number": "510-237-2961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Ashby Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947051909",
            "country_code": "US",
            "telephone_number": "510-869-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASSAF",
        "first_name": "HEFTSI",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC40062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in San Pablo, CA
• Providers in San Pablo, 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, 2022; 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.