Active NPI
Paniz Bagheri, CMT
- Counselor
- San Francisco, CA
National Provider Identifier
1134446776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 68 12TH St
San Francisco, CA 94103-1297 - Phone
- (415) 358-2713
- NPI assigned
- Apr 21, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
68 12TH St
San Francisco, CA 94103-1297
Mailing address
5510 Doyle St
Emeryville, CA 94608-2502
Phone (510) 463-7416
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Project Inc | Past | Accepting new patients | |
| Sage Project, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1164839981
-
- Mental Health Counselor
- San Francisco, CA
- NPI 1447339403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1134446776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 DOYLE ST",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946082502",
"telephone_number": "510-463-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 12TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941031297",
"telephone_number": "415-358-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHERI",
"first_name": "PANIZ",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-21",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"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 Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.