Bowra Faiez, LICENSED MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

91966 Issued in CA

Practice address

160 Guthrie LN
Brentwood, CA 94513-4059

Phone

(925) 594-2438

NPI assigned

Jan 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lynn Center - Next Steps

  • Community/Behavioral Health Agency
  • Pittsburg, CA
  • NPI 1407190440
  NPD (past)
• Vistability

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburg, CA
  • NPI 1831248392
  NPD (past)

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1487044483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GUTHRIE LN STE B",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134059",
            "telephone_number": "925-594-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GUTHRIE LN",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134059",
            "telephone_number": "925-594-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIEZ",
        "first_name": "BOWRA",
        "credential": "LICENSED MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnica Evans
• Jalen Evers Threatt
• Exodyne, Inc.
• Eyecare Galleria Optometry
• Jesse Michael Fa, D.D.S
• Mushda Faiez
• Mia Falco
• Brianna Marie Farber
• Syed U. Farooq
• Kaden Noel Farsai

• Marriage & Family Therapist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.