Organization Active NPI

Tina Sadri, Ma, a Family & Marriage Therapy Corp

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1891108601
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT79583 Issued in CA
Legal business name
TINA SADRI, MA, A FAMILY & MARRIAGE THERAPY CORP
Practice address
351 Hospital Rd
206
Newport Beach, CA 92663-3509
Phone
(949) 283-4885
Fax
(949) 502-8887
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Mrs. Seyedeh Tina Sadri, MA
Title
Ceo/ Provider
Phone
(949) 283-4885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X LMFT79583 CA Primary

Addresses

Primary practice location

351 Hospital Rd
206
Newport Beach, CA 92663-3509

Mailing address

PO Box 1534
Newport Beach, CA 92659-0534
Phone (949) 283-4885

National Provider Directory

National Provider Directory

Locations

351 Hospital Rd
Ste 206
Newport Beach, CA 92663
Phone (949) 216-0123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1891108601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1534",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590534",
            "telephone_number": "949-283-4885",
            "fax_number": "949-502-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 HOSPITAL RD",
            "address_2": "206",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633509",
            "telephone_number": "949-283-4885",
            "fax_number": "949-502-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA SADRI, MA, A FAMILY & MARRIAGE THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "SADRI",
        "authorized_official_first_name": "SEYEDEH",
        "authorized_official_middle_name": "TINA",
        "authorized_official_title_or_position": "CEO/ PROVIDER",
        "authorized_official_telephone_number": "949-283-4885",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT79583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.