Edelweiss Individual and Family Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EDELWEISS INDIVIDUAL AND FAMILY THERAPY

Practice address

1100 Quail St Ste 206
Newport Beach, CA 92660-2782

Phone

(949) 229-0567

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Saba Montazerian, LMFTNPI 1902367758

Title

Licensedmarriageandfamilytherapist

Phone

(949) 229-0567

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saba Montazerian, MA

  • Marriage & Family Therapist
  • Newport Beach, CA
  • NPI 1902367758
  NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1407570393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15615 ALTON PKWY STE 450",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183308",
            "telephone_number": "949-229-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 QUAIL ST STE 206",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602782",
            "telephone_number": "949-229-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELWEISS INDIVIDUAL AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "MONTAZERIAN",
        "authorized_official_first_name": "SABA",
        "authorized_official_title_or_position": "LICENSEDMARRIAGEANDFAMILYTHERAPIST",
        "authorized_official_telephone_number": "949-229-0567",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Echeverria, MS, LMFT
• Eden Fertility Center of Newport Beach
• Eden Licensed Clinical Social Worker Corporation
• Edinger Medical Group, Inc.
• Desiree Deanne Edlund, D.C.
• Edward G. Rohaly,M.D. Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.