Active NPI
Theresa Ann Razzano, LMFT
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1356554893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 34608
- Practice address
- 290 Grand Ave
Suite 103
Oakland, CA 94610-4791 - Phone
- (510) 386-1892
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 34608 | CA | Primary |
Addresses
Primary practice location
290 Grand Ave
Suite 103
Oakland, CA 94610-4791
Mailing address
290 Grand Ave
Suite 103
Oakland, CA 94610-4791
Phone (510) 386-1892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34608 | Medicaid | CA |
Other names 1
- Ms. Theresa Ann Lazzari
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34608 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reflect Family Therapy Inc. | Marriage & Family Therapist | Current | Accepting new patients |
Locations
290 Grand Ave
Ste 103
Oakland, CA 94610
Phone (510) 386-1892
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Oakland, CA
- NPI 1457289779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1356554893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 GRAND AVE",
"address_2": "SUITE 103",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104791",
"telephone_number": "510-386-1892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 GRAND AVE",
"address_2": "SUITE 103",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104791",
"telephone_number": "510-386-1892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZZANO",
"first_name": "THERESA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "34608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34608",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "LAZZARI",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "LMFT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.