Svetlana Alexandra Theimer, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC39913 Issued in CA

Practice address

5625 College Ave
208
Oakland, CA 94618-1585

Phone

(510) 845-0548

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Marriage and Family Therapist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316076474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 WESTMOORLAND DR",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051755",
            "telephone_number": "510-845-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 COLLEGE AVE",
            "address_2": "208",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181585",
            "telephone_number": "510-845-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIMER",
        "first_name": "SVETLANA",
        "middle_name": "ALEXANDRA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The West Oakland Health Council (Baywell Health)
• The West Oakland Health Council (Baywell Health)
• The West Oakland Health Council
• The West Oakland Health Council (Albert J. Thomas Medical Clinic)
• The West Oakland Health Council
• Amy Thein
• Suleiman J. Theodossy, MD
• Thera Share Counseling and Consulting Inc (Thera Share)
• Therapeutic Solutions for Families, Licensed Clinical Social Worker Inc.
• Keith M. Thibault, NP

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.