Individual provider Active NPI

Naomi Anna Fair, MFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1730218801
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT #44408 Issued in CA
Practice address
2020 Milvia St Ste 450
Berkeley, CA 94704-1297
Phone
(510) 550-2377
Fax
(510) 832-2562
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 MFT #44408 CA Primary

Addresses

Primary practice location

2020 Milvia St Ste 450
Berkeley, CA 94704-1297

Mailing address

2020 Milvia St Ste 450
Berkeley, CA 94704-1297
Phone (510) 550-2377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT #44408CAMDMarriage & Family Therapist
44408CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1730218801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 MILVIA ST STE 450",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041297",
            "telephone_number": "510-550-2377",
            "fax_number": "510-832-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 MILVIA ST STE 450",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041297",
            "telephone_number": "510-550-2377",
            "fax_number": "510-832-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "NAOMI",
        "middle_name": "ANNA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT #44408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.