Natalya Fateyeva PA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT2774 Issued in FL

Legal business name

NATALYA FATEYEVA PA

Practice address

7450 Griffin Rd Ste 250
Davie, FL 33314-4104

Phone

(954) 707-8520

NPI assigned

May 23, 2013

Last updated

May 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Natalya Fateyeva, LMFTNPI 1972041234

Title

Director

Phone

(954) 707-8520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalya Fateyeva

  • Marriage & Family Therapist
  • Davie, FL
  • NPI 1972041234
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1932546488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 NW 76THTERRACE",
            "city": "PEMBROKE",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-707-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 GRIFFIN RD STE 250",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144104",
            "telephone_number": "954-707-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALYA FATEYEVA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "FATEYEVA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-707-8520",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Davie, FL
• Providers in Davie, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.