Johnny Fang

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3010 Colby St Ste 221
Berkeley, CA 94705-2056

Phone

(510) 922-9757

NPI assigned

Sep 6, 2018

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Area Clinical Associates, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berkeley, CA
  • NPI 1801370853
  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1881176790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST STE 221",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST STE 221",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052056",
            "telephone_number": "510-922-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "JOHNNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Planning Associates Medical Group Inc (FPA Women's Health)
• Family Planning Associates Medical Group Inc (FPA Women's Health)
• Family Spring Psychology, P.C.
• Famous Foam
• Rowena A Faner, RN
• Dale Edward Fanning, LAC
• Sage Fanucchi-Funes, CNM
• Farshid Farrahi, M.D.
• Maire Farrington, M.F.T.
• Emily Farwig, L.AC.

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, 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 Aug 5, 2022; 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.