Individual provider Active NPI

Haideh Khosrowshahi Partovi, MFT

  • Mental Health Counselor
  • Fair Oaks, CA
National Provider Identifier
1295982858
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC 36354 Issued in CA
Practice address
7996 Old Winding Way
Suite 210
Fair Oaks, CA 95628-7159
Phone
(916) 956-9220
Fax
(916) 638-3626
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC 36354 CA Primary

Addresses

Primary practice location

7996 Old Winding Way
Suite 210
Fair Oaks, CA 95628-7159

Mailing address

11400 Pelton PL
Gold River, CA 95670-7868
Phone (916) 956-9220

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 36354CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1295982858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 PELTON PL",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956707868",
            "telephone_number": "916-956-9220",
            "fax_number": "916-638-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7996 OLD WINDING WAY",
            "address_2": "SUITE 210",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287159",
            "telephone_number": "916-956-9220",
            "fax_number": "916-638-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTOVI",
        "first_name": "HAIDEH",
        "middle_name": "KHOSROWSHAHI",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 36354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.