Active NPI
Catherine Anoosheh Nafissi, MFT
- Marriage & Family Therapist
- Los Altos, CA
National Provider Identifier
1629129671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 36331
- Practice address
- 4600 El Camino Real Ste 204
Los Altos, CA 94022-1328 - Phone
- (650) 888-7999
- Fax
- (650) 440-4981
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 36331 | CA | Primary |
Addresses
Primary practice location
4600 El Camino Real Ste 204
Los Altos, CA 94022-1328
Mailing address
4600 El Camino Real Ste 204
Los Altos, CA 94022-1328
Phone (650) 888-7999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80506 | Other | CA | GROUP # |
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 |
|---|---|---|---|
| 36331 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1629129671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 EL CAMINO REAL STE 204",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221328",
"telephone_number": "650-888-7999",
"fax_number": "650-440-4981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 EL CAMINO REAL STE 204",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221328",
"telephone_number": "650-888-7999",
"fax_number": "650-440-4981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAFISSI",
"first_name": "CATHERINE",
"middle_name": "ANOOSHEH",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "36331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP #",
"identifier": "80506",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.