Individual provider Active NPI

Naomi Vivian Fate, MFT

  • Marriage & Family Therapist
  • Apple Valley, CA
National Provider Identifier
1467550848
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC22646 Issued in CA
Practice address
16195 Siskiyou Rd
Suite 120-a
Apple Valley, CA 92307-1346
Phone
(760) 946-2070
Fax
(760) 946-1511
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC22646 CA Primary

Addresses

Primary practice location

16195 Siskiyou Rd
Suite 120-a
Apple Valley, CA 92307-1346

Mailing address

16195 Siskiyou Rd
Suite 120-a
Apple Valley, CA 92307-1346
Phone (760) 946-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC22646CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Behavioral Health a Family Counseling Corp Marriage & Family Therapist Current Accepting new patients

Locations

16195 Siskiyou Rd
Ste 120A
Apple Valley, CA 92307
Phone (760) 946-2070

20601 US Highway 18
Ste 189
Apple Valley, CA 92307

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467550848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16195 SISKIYOU RD",
            "address_2": "SUITE 120-A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071346",
            "telephone_number": "760-946-2070",
            "fax_number": "760-946-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16195 SISKIYOU RD",
            "address_2": "SUITE 120-A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071346",
            "telephone_number": "760-946-2070",
            "fax_number": "760-946-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATE",
        "first_name": "NAOMI",
        "middle_name": "VIVIAN",
        "name_prefix": "Miss",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC22646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.