Individual provider Active NPI

Saraphi Chawengchot, LMFT

  • Marriage & Family Therapist
  • San Pablo, CA
National Provider Identifier
1497815393
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 40979 Issued in CA
Practice address
13585 San Pablo Avenue
Second Floor
San Pablo, CA 94806-3305
Phone
(510) 612-3749
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 MFC 40979 CA Primary

Addresses

Primary practice location

13585 San Pablo Avenue
Second Floor
San Pablo, CA 94806-3305

Mailing address

PO Box 591
El Cerrito, CA 94530-0591
Phone (510) 612-3749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 40979CAMDMarriage & Family Therapist
40979CAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County CurrentSince Jan 1, 2024 Accepting new patients
Contra Costa County Current Accepting new patients

Locations

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

13585 San Pablo Ave
Fl 2
San Pablo, CA 94806
Phone (510) 942-4700

Organizations & group practices 2

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1497815393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945300591",
            "telephone_number": "510-612-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13585 SAN PABLO AVENUE",
            "address_2": "SECOND FLOOR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063305",
            "telephone_number": "510-612-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWENGCHOT",
        "first_name": "SARAPHI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-07-16",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 40979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

Verify at the official NPI Registry.