Active NPI
Shideh Shahvarian, M.A. LMFT
- Marriage & Family Therapist
- Sunnyvale, CA
National Provider Identifier
1164612628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 51557
- Practice address
- 980 W Washington Ave
Sunnyvale, CA 94086-5904 - Phone
- (510) 921-0907
- Fax
- (408) 732-1358
- NPI assigned
- Jul 30, 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 51557 | CA | Primary |
Addresses
Primary practice location
980 W Washington Ave
Sunnyvale, CA 94086-5904
Mailing address
980 W Washington Ave
Sunnyvale, CA 94086-5904
Phone (510) 921-0907
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 |
|---|---|---|---|
| MFC 51557 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1164612628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 W WASHINGTON AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940865904",
"telephone_number": "510-921-0907",
"fax_number": "408-732-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 W WASHINGTON AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940865904",
"telephone_number": "510-921-0907",
"fax_number": "408-732-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHVARIAN",
"first_name": "SHIDEH",
"credential": "M.A. LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 51557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.