Maryam Davodi Far, DPA, MHA, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT108127 Issued in CA

Practice address

3885 State St Apt 219
Santa Barbara, CA 93105-5638

Phone

(858) 525-3704

NPI assigned

Dec 21, 2019

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1396384335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 STATE ST APT 219",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055638",
            "telephone_number": "858-525-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 STATE ST APT 219",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055638",
            "telephone_number": "858-525-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVODI FAR",
        "first_name": "MARYAM",
        "credential": "DPA, MHA, MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT108127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Tamar Davis, FNP
• Julian Reed Davis, MD
• Krista Angel Davis
• Louise Kuo-Fong Davis, RN
• Nicole Marie Davis
• Donald M Dawes, MD
• Shandara Durkee Dawes, MD
• Stacie Dawes, LMFT
• Alice Christine Dawkins, LMFT
• Demitrese Da'Shaun Dawkins

• Marriage & Family Therapist in Santa Barbara, CA
• Providers in Santa Barbara, 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 12, 2021; 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.