Active NPI
Atheena Marie Matcham, M.A, MFTI 65169
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1124398599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTI 65169
- Practice address
- 1426 Fillmore St
San Francisco, CA 94115-5236 - Phone
- (415) 202-9770
- NPI assigned
- Jan 3, 2012
- Reactivated
- May 3, 2017
- Sex
- Female
- Sole proprietor
- No
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 | MFTI 65169 | CA | Primary |
Addresses
Primary practice location
1426 Fillmore St
San Francisco, CA 94115-5236
Mailing address
1426 Fillmore St
San Francisco, CA 94115-5236
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTI 65169 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1124398599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 FILLMORE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941155236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 FILLMORE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941155236",
"telephone_number": "415-202-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATCHAM",
"first_name": "ATHEENA",
"middle_name": "MARIE",
"credential": "M.A, MFTI 65169",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-03",
"last_updated": "2017-05-03",
"deactivation_date": "2015-03-03",
"reactivation_date": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFTI 65169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.