NPIMap

Individual provider Active NPI

Fei-Fei Da Costa, LMFT, ATR

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1942522602
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
92687 Issued in CA
Practice address
2340 Ward St Ste 102
Berkeley, CA 94705-1146
Phone
(510) 371-0835
NPI assigned
Feb 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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 92687 CA Primary

Addresses

Primary practice location

2340 Ward St Ste 102
Berkeley, CA 94705-1146

Mailing address

2340 Ward St Ste 102
Berkeley, CA 94705-1146
Phone (510) 371-0835

Other practice location 1

3641 Stony Point Rd
Santa Rosa, CA 95407-8080
Phone (707) 585-3700

Other names 1

  • Ms. Fei-Fei Chang Former name

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
92687CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Parenting Institute Marriage & Family Therapist Past Accepting new patients
Anise Health Psychiatry PC Mental Health Past Accepting new patients
New Directions Adolescent Services, Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1942522602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 WARD ST STE 102",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051146",
            "telephone_number": "510-371-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 WARD ST STE 102",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051146",
            "telephone_number": "510-371-0835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3641 Stony Point Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954078080",
            "country_code": "US",
            "telephone_number": "707-585-3700",
            "fax_number": "707-585-3883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DA COSTA",
        "first_name": "FEI-FEI",
        "name_prefix": "Ms.",
        "credential": "LMFT, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEI-FEI",
            "last_name": "CHANG",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.