Active NPI
Tasneem Mohamed
- Counselor
- San Carlos, CA
National Provider Identifier
1487841581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 957 Industrial Rd Ste B
San Carlos, CA 94070-4152 - Phone
- (415) 375-7634
- NPI assigned
- Oct 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
957 Industrial Rd Ste B
San Carlos, CA 94070-4152
Mailing address
555 Northgate Dr
San Rafael, CA 94903-3680
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1487841581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 NORTHGATE DR",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 INDUSTRIAL RD STE B",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940704152",
"telephone_number": "415-375-7634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "TASNEEM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.