Individual provider Active NPI

Sara Hirad, PSYD., LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1912315052
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
80882 Issued in CA
Practice address
9666 Businesspark Ave Ste 207
San Diego, CA 92131-1646
Phone
(858) 367-0525
Fax
(858) 367-8383
NPI assigned
Jul 31, 2014
Last updated
Oct 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 80882 CA Primary

Addresses

Primary practice location

9666 Businesspark Ave Ste 207
San Diego, CA 92131-1646

Mailing address

PO Box 2498
Del Mar, CA 92014-1798
Phone (858) 367-0525

Other practice location 1

9666 Businesspark Ave Ste 207
San Diego, CA 92131-1646
Phone (858) 367-0525

Other practice location 2

3435 Camino Del Rio S Ste 206
San Diego, CA 92108-3911
Phone (858) 367-0525

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

State licenses

LicenseStateTypeSpecialty
80882CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Avita Family Therapy and Wellness Center, Inc. Marriage & Family Therapist Past Accepting new patients
Alumma Family Counseling Services Inc Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1912315052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2498",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920141798",
            "telephone_number": "858-367-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 BUSINESSPARK AVE STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311646",
            "telephone_number": "858-367-0525",
            "fax_number": "858-367-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9666 Businesspark Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921311646",
            "country_code": "US",
            "telephone_number": "858-367-0525",
            "fax_number": "858-367-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3435 Camino Del Rio S Ste 206",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083911",
            "country_code": "US",
            "telephone_number": "858-367-0525",
            "fax_number": "858-367-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRAD",
        "first_name": "SARA",
        "credential": "PSYD., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.