Active NPI
Naomi Vivian Fate, MFT
- Marriage & Family Therapist
- Apple Valley, CA
National Provider Identifier
1467550848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC22646
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC22646 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatry Physician
- Apple Valley, CA
- NPI 1891700241
Marriage & Family Therapist
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.