Organization Active NPI

Yasamin Farhad, LMFT

  • Community/Behavioral Health Agency
  • Fullerton, CA
National Provider Identifier
1972045409
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
81557 Issued in CA
Legal business name
YASAMIN FARHAD, LMFT
Practice address
2601 E Chapman Ave Ste 102
Fullerton, CA 92831-3737
Phone
(949) 293-6249
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Yasamin Farhad
Title
LMFT/Owner
Phone
(949) 293-6249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 81557 CA Primary

Addresses

Primary practice location

2601 E Chapman Ave Ste 102
Fullerton, CA 92831-3737

Mailing address

2601 E Chapman Ave Ste 102
Fullerton, CA 92831-3737
Phone (949) 293-6249

Other names 1

  • Congruent Lives Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1972045409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E CHAPMAN AVE STE 102",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313737",
            "telephone_number": "949-293-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E CHAPMAN AVE STE 102",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313737",
            "telephone_number": "949-293-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASAMIN FARHAD, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "FARHAD",
        "authorized_official_first_name": "YASAMIN",
        "authorized_official_title_or_position": "LMFT/OWNER",
        "authorized_official_telephone_number": "949-293-6249"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "81557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Congruent Lives",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.