NPIMap

Organization Active NPI

Dawn Farber PSYD MFT

  • Health Maintenance Organization
  • Oakland, CA
National Provider Identifier
1972996650
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MFC20018 Issued in CA
Legal business name
DAWN FARBER PSYD MFT
Practice address
587 Walavista Ave
Oakland, CA 94610-1621
Phone
(510) 763-4531
NPI assigned
Mar 5, 2015
Last updated
Mar 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Dr. Dawn Farber, PSY.D MFT
Title
Administrator and Clinician
Phone
(510) 763-4531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MFC20018 CA Primary

Addresses

Primary practice location

587 Walavista Ave
Oakland, CA 94610-1621

Mailing address

587 Walavista Ave
Oakland, CA 94610-1621
Phone (510) 763-4531

Other identifiers 1

IdentifierTypeStateIssuer
522215420OtherCAPASSPORT

National Provider Directory

National Provider Directory
Tax ID family
Montefiore New Rochelle103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1972996650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 WALAVISTA AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101621",
            "telephone_number": "510-763-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 WALAVISTA AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101621",
            "telephone_number": "510-763-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN FARBER PSYD MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "FARBER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "ADMINISTRATOR AND CLINICIAN",
        "authorized_official_telephone_number": "510-763-4531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D MFT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "MFC20018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "522215420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.