Matine Shaygan, MFTI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF48966 Issued in CA

Practice address

1330 Broadway
Suite 732
Oakland, CA 94612-2503

Phone

(510) 451-0661

Fax

(510) 451-0662

NPI assigned

Jul 17, 2007

Last updated

Feb 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1730388810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BROADWAY",
            "address_2": "SUITE 732",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122503",
            "telephone_number": "510-451-0661",
            "fax_number": "510-451-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BROADWAY",
            "address_2": "SUITE 732",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122503",
            "telephone_number": "510-451-0661",
            "fax_number": "510-451-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYGAN",
        "first_name": "MATINE",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF48966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Renee Shaw
• Tara A. Shaw, MD
• Theodros Shawl, DC
• Lois Shawver, PH.D.
• Gregory F. Shay, MD
• Zhen She
• Holly Shea, PA
• Julian Michael Shea
• David L. Shearn, MD
• Heaven Simone Shears

• Mental Health Counselor in Oakland, CA
• Providers in Oakland, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.