Shahrzad Mease, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC45222 Issued in CA

Practice address

2195 Union Ave
Fairfield, CA 94533-3240

Phone

(707) 422-0464

Fax

(707) 422-0465

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Shahrzad Tabatabai Former name

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Moona Medical Group of California PCGroup PAC ID 2365955630, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Moona Medical Group of California PC

  • Mental Health Counselor
  • San Francisco, CA
  • NPI 1023824836
  Medicare reassignment Care Compare group
• Children'S Nurturing Project

  • Voluntary or Charitable Agency
  • Fairfield, CA
  • NPI 1619034428
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1376675348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 UNION AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333240",
            "telephone_number": "707-422-0464",
            "fax_number": "707-422-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 UNION AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333240",
            "telephone_number": "707-422-0464",
            "fax_number": "707-422-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEASE",
        "first_name": "SHAHRZAD",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45222",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC45222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHRZAD",
            "last_name": "TABATABAI",
            "prefix": "MISS",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle McNulty, DDS
• Anne McPheeters
• Wendy Michaela McStravick
• Dallas Omar McWilliams, IDMT
• Alexander Russell Meade, DDS
• Azucena Medina-Carrasco
• Josie Medina
• Manuel Amado Medina
• Maryfatima Medina
• Pablo Oscar Medina Jr., M.D.

• Mental Health Counselor in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.
• 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.