Individual provider Active NPI

Heidi Mathat, LMFT

  • Marriage & Family Therapist
  • Citrus Heights, CA
National Provider Identifier
1265453781
Registry record updated Apr 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 40701 Issued in CA
Practice address
7509 Madison Ave
Suite 106
Citrus Heights, CA 95610-7467
Phone
(916) 956-6625
Fax
(916) 338-6127
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 40701 CA Primary

Addresses

Primary practice location

7509 Madison Ave
Suite 106
Citrus Heights, CA 95610-7467

Mailing address

6102 Willowmont Cir
Sacramento, CA 95842-2711
Phone (916) 606-6124

Other identifiers 1

IdentifierTypeStateIssuer
000008462OtherCAMEDICAL PROVIDER

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

State licenses

LicenseStateTypeSpecialty
MFC 40701CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270339200000",
    "number": "1265453781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 WILLOWMONT CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958422711",
            "telephone_number": "916-606-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 MADISON AVE",
            "address_2": "SUITE 106",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107467",
            "telephone_number": "916-956-6625",
            "fax_number": "916-338-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHAT",
        "first_name": "HEIDI",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 40701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER",
            "identifier": "000008462",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2010; 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.