Active NPI
Manijeh Farhidar
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1932391521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- VN209711
- Practice address
- 3025 Beyer Blvd
Suite E-102
San Diego, CA 92154-3432 - Phone
- (619) 428-1000
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | VN209711 | CA | Primary |
Addresses
Primary practice location
3025 Beyer Blvd
Suite E-102
San Diego, CA 92154-3432
Mailing address
3025 Beyer Blvd
Suite E-102
San Diego, CA 92154-3432
Phone (619) 428-1000
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
| License | State | Type | Specialty |
|---|---|---|---|
| VN209711 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1932391521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 BEYER BLVD",
"address_2": "SUITE E-102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543432",
"telephone_number": "619-428-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 BEYER BLVD",
"address_2": "SUITE E-102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543432",
"telephone_number": "619-428-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARHIDAR",
"first_name": "MANIJEH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "VN209711",
"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 Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.