JZEELA GHEISAR-SHAHABIAN (NPI# 1538599774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538599774 |
| Entity Type | Individual |
| Full Name | JZEELA GHEISAR-SHAHABIAN |
| Other Name | JZEELA GHEISAR |
| Credential | MA, LMFT |
| Practice Address |
4190 Douglas Blvd Ste 300 Roseville CA 95746-5918 |
| Practice Telephone | 9165206303 |
| Mailing Telephone | 9165206303 |
| Mailing Fax Number | 9167712080 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 98994 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4190 Douglas Blvd Ste 300, Roseville, CA 957465918 | 9165206303 |
| Street Address |
4190 DOUGLAS BLVD STE 300 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95746-5918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651860 | Delinda Rose Samp | Marriage & Family Therapist | 4190 Douglas Blvd Ste 300, Roseville, CA 95746-5918 | 2018-12-31 |
| 1215313523 | Mark Levine M.d. Mindfullness Associates, P.C. | Psychologist | 4190 Douglas Blvd Ste 300, Roseville, CA 95746-5918 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760901672 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 5525 Stallman Cavitt Road, Granite Bay, CA 95746 | 2017-09-12 |
| 1255787719 | Gurveen Atwal | Counselor | 511 Carthage Court, Granite Bay, CA 95746 | 2016-05-13 |
| 1407219181 | Sarah Choi Allen | General Acute Care Hospital | 8941 Wexford Circle, Granite Bay, CA 95746 | 2016-03-31 |
| 1760824833 | Cecil O Lynch | Obstetrics & Gynecology | 6500 Countrywoods Lane, Granite Bay, CA 95746 | 2013-07-18 |
| 1467726968 | Fareeha Bushra Sattar | Family Medicine | 9486 Swan Lake Dr, Granite Bay, CA 95746 | 2012-02-29 |
| 1578854592 | Meera Shah | Pharmacist | 4080 Douglas Blvd, Granite Bay, CA 95746 | 2011-04-25 |
| 1013151042 | Julia Margaret Black | Marriage & Family Therapist | 6049 Douglas Blvd., Suite 19, Granite Bay, CA 95746 | 2009-04-21 |
| 1366622532 | Marina V Milstein | Dentist | 7095 Douglas Blvd, Suite A, Granite Bay, CA 95746 | 2007-11-05 |
| 1154527398 | Sandra Kay Baker | Social Worker | 9123 Oakhollow Ct, Granite Bay, CA 95746 | 2007-06-25 |
| 1497965107 | Barry Hoffman | Dentist | 9035 Camino Del Avion, Granite Bay, CA 95746 | 2007-05-23 |
| Find all providers in zip 95746 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083679 | Heidi J Flanagan | Marriage & Family Therapist | 705 Sunrise Ave, D115, Roseville, CA 95661-6411 | 2020-11-06 |
| 1679184337 | Joy Light | Marriage & Family Therapist | 300 Harding Blvd Ste 211, Roseville, CA 95678-2473 | 2020-08-14 |
| 1366098725 | Julie Anna Keller | Marriage & Family Therapist | 700 Gibson Dr Apt 1713, Roseville, CA 95678-5762 | 2019-08-12 |
| 1376105593 | David Heitzler | Marriage & Family Therapist | 8150 Industrial Ave Bldg A, Roseville, CA 95678-5903 | 2019-07-08 |
| 1124592027 | Kristin Lynn Beebe | Marriage & Family Therapist | 17955 E 11 Mile Rd, Roseville, MI 48066-2942 | 2019-01-15 |
| 1952874752 | Andrea A Kelly | Marriage & Family Therapist | 1680 Stone Canyon Dr, Roseville, CA 95661-4041 | 2019-01-04 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1205315520 | Katherine I Brown | Marriage & Family Therapist | 720 Sunrise Ave Ste 212, Roseville, CA 95661-4516 | 2018-08-08 |
| 1073004396 | Samuel Henning | Marriage & Family Therapist | 3300 Douglas Blvd Ste 240, Roseville, CA 95661-4287 | 2018-05-22 |
| 1245739465 | Isaiah Hulme | Marriage & Family Therapist | 1100 Melody Ln Ste 218, Roseville, CA 95678-5207 | 2018-02-02 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.