Nazifa Obaidi

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Practice address

14940 Shetland LN
Red Bluff, CA 96080-9453

Phone

(140) 899-0610

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1205498060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14940 SHETLAND LN",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960809453",
            "telephone_number": "140-899-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14940 SHETLAND LN",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960809453",
            "telephone_number": "140-899-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAIDI",
        "first_name": "NAZIFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nrec Professional Services
• Rosalie Nunez
• Michael Norbert Nystrom
• Casey Patrick O'Brian, AMFT
• Brenna O'Callaghan
• Faith L Odell, SUDR
• Elizabeth Ogsbury
• Jennifer E Olivarez, B.A.
• Julia Oneal
• Darth Ooten

• Adolescent and Children Mental Health Clinic/Center in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.