Moriah Joya Agoustari, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

136912 Issued in CA

Practice address

903 1St St
Benicia, CA 94510-3217

Phone

(415) 632-1010

NPI assigned

Oct 17, 2023

Sex

Female

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

Practice roles

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.

• Connective Family Therapy, Inc.

  • Marriage & Family Therapist
  • San Francisco, CA
  • NPI 1083101711
  NPD (past)

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1851173504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ROOSEVELT AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034109",
            "telephone_number": "415-378-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 1ST ST",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103217",
            "telephone_number": "415-632-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOUSTARI",
        "first_name": "MORIAH",
        "middle_name": "JOYA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Abrao, RDHAP
• Acme Home Elevator
• Kenneth Adams, MFT
• Simone Lenore Adkins, LMFT
• Aegis Towing and Recovery LLC
• Archer Dean Aidt
• Renae Allan
• Joanne Hartley Allport, M.D., M.P.H.
• Micah Altman, PSY.D.
• Bashar Amso, D.C.

• Marriage & Family Therapist in Benicia, CA
• Providers in Benicia, 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 Oct 17, 2023; 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.