Tanine Falatoonzadeh, AMFT, APCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

138258 Issued in CA

Practice address

2455 Bennett Valley Rd Ste B201
Santa Rosa, CA 95404-5667

Phone

(707) 520-4357

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Intune Family Counseling, Inc.

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1861865875
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1710740444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6431",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954060431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 BENNETT VALLEY RD STE B201",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045667",
            "telephone_number": "707-520-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALATOONZADEH",
        "first_name": "TANINE",
        "credential": "AMFT, APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "13346",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Fairbank, AMFT
• Adrienne Fairchild
• Emma Grace Fairchild
• Lorraine Elizabeth Fairfield
• Meer Arush Fakhry, DO
• Kurt Falkenberg, P.T.
• Samuel Falkenberg, PT
• Teresa Olivia Fallon, ADN, CMT
• Dana Elizabeth Falls, M.A., MFT
• Mark David Falls, PHD

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, 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 Feb 5, 2024; 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.