Phil Nastri, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

45517 Issued in CA

Practice address

14740 Martell Ave Apt E
San Leandro, CA 94578-4447

Phone

(510) 363-2565

Fax

(510) 363-2565

NPI assigned

Oct 18, 2017

Last updated

Oct 18, 2017By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1407367311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 MARTELL AVE APT E",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945784447",
            "telephone_number": "510-363-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 MARTELL AVE APT E",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945784447",
            "telephone_number": "510-363-2565",
            "fax_number": "510-363-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASTRI",
        "first_name": "PHIL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "45517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in San Leandro, CA
• Providers in San Leandro, 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 Oct 18, 2017; 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.