Maja Radevich

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

134248 Issued in CA

Practice address

10873 Barnett Valley Rd
Sebastopol, CA 95472-9504

Phone

(707) 861-2005

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1932753142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10873 BARNETT VALLEY RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954729504",
            "telephone_number": "707-861-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10873 BARNETT VALLEY RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954729504",
            "telephone_number": "707-861-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEVICH",
        "first_name": "MAJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prima Medical Foundation Sebastopol (Prima Medical Group)
• Natalie R Propach, DPT
• Karen Prosen, LMFT
• Meagan Judith Pugh, D.MIN., ATR-BC, SEP
• R. Mitchell Hiserote DO, Professional Corporation (Blue Sky Osteopathy)
• Radiant Health Inc (Radiant Health Center)
• Aram Rahimi, PHARMD
• Christine M Ramsay, P.A.-C
• Katherine Ramsey, LMFT
• Raquel Wells, a Licensed Clinical Social Worker Corporation (Kinship Counseling Collective)

• Marriage & Family Therapist in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.