Active NPI
Saba Montazerian, MA
- Marriage & Family Therapist
- Newport Beach, CA
National Provider Identifier
1902367758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.001268
- Practice address
- 1100 Quail St Ste 206
Newport Beach, CA 92660-2782 - Phone
- (949) 229-0567
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.001268 | IL | Primary |
Addresses
Primary practice location
1100 Quail St Ste 206
Newport Beach, CA 92660-2782
Mailing address
1100 Quail St Ste 206
Newport Beach, CA 92660-2782
Phone (949) 229-0567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.001268 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edelweiss Individual and Family Therapy | Current | Accepting new patients |
Locations
1100 Quail St
Ste 206
Newport Beach, CA 92660
Phone (949) 229-0567
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport Beach, CA
- NPI 1407570393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1902367758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 QUAIL ST STE 206",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602782",
"telephone_number": "949-229-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 QUAIL ST STE 206",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602782",
"telephone_number": "949-229-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTAZERIAN",
"first_name": "SABA",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.001268",
"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 May 25, 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.