Farnaz Etemadieh, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 24888 Issued in CA

Practice address

5 Commodore Dr
Suite B306
Emeryville, CA 94608-1648

Phone

(510) 655-5727

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760594915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COMMODORE DR",
            "address_2": "SUITE B306",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081648",
            "telephone_number": "510-655-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COMMODORE DR",
            "address_2": "SUITE B306",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081648",
            "telephone_number": "510-655-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETEMADIEH",
        "first_name": "FARNAZ",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 24888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emery Unified School District
• Emeryville Advanced Imaging Center
• Grace Si-Wah Eng, MD
• Gadiel Arnulfo Escobedo, FNP-BC
• Philip Estrella
• Byrd Evans, AMFT
• Janet Ewing, MD
• Zebadiah Facundo
• Brittany Anne Fajardo
• Tara Taraneh Farah, MD

• Marriage & Family Therapist in Emeryville, CA
• Providers in Emeryville, 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 Jul 8, 2007; 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.