Mike Husseini

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

628 Montezuma St
Rio Vista, CA 94571-1622

Phone

(707) 374-5243

NPI assigned

Feb 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407394190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 MONTEZUMA ST",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711622",
            "telephone_number": "707-374-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MONTEZUMA ST",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711622",
            "telephone_number": "707-374-5243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1286 Callen St",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956883002",
            "country_code": "US",
            "telephone_number": "707-447-8982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSEINI",
        "first_name": "MIKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY/BEHAVIORAL HEALTH",
            "identifier": "1295880821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deirdre Helene Fogarty-Harris, AMFT
• Thomas Eugene Gong, D.D.S.
• Darin Payne Hassig
• Yasmin Hernandez, M.S-CCC SLP
• Amber Huizenga
• Christine Huttinger
• Jenkins Signature Care
• Vicki Lynn Joseph, LCSW
• Cynthia Ann Keith, PHARM.D
• Hillary Jane Ludwig, M.A.

• Student in an Organized Health Care Education/Training Program in Rio Vista, CA
• Providers in Rio Vista, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.