Organization Active NPI

Maristan

  • Marriage & Family Therapist
  • Fremont, CA
National Provider Identifier
1932874674
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MARISTAN
Practice address
39370 Zacate Ave
Fremont, CA 94539-3062
Phone
(408) 306-1958
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Mona Midani
Title
Treasurer
Phone
(408) 306-1958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

39370 Zacate Ave
Fremont, CA 94539-3062

Mailing address

39370 Zacate Ave
Fremont, CA 94539-3062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1932874674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39370 ZACATE AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39370 ZACATE AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393062",
            "telephone_number": "408-306-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISTAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "MIDANI",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "408-306-1958"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.