Active NPI
Mey Siow Saephan, LMFT
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1114113958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC #41812
- Practice address
- 1425 Leimert Blvd Ste 202
Oakland, CA 94602-1808 - Phone
- (510) 628-0740
- NPI assigned
- Sep 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC #41812 | CA | Primary |
Addresses
Primary practice location
1425 Leimert Blvd Ste 202
Oakland, CA 94602-1808
Mailing address
1425 Leimert Blvd Ste 202
Oakland, CA 94602-1808
Phone (510) 628-0740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective May 16, 2024 through May 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC #41812 | CA | MD | Marriage & Family Therapist |
| 41812 | CA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189728000000",
"number": "1114113958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 LEIMERT BLVD STE 202",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021808",
"telephone_number": "510-628-0740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 LEIMERT BLVD STE 202",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021808",
"telephone_number": "510-628-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAEPHAN",
"first_name": "MEY",
"middle_name": "SIOW",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-14",
"last_updated": "2007-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC #41812",
"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 Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.