DR. FATEMEH AHDI BANI-TABA PSYD
NPI 1144413725
Psychologist - Clinical in Santa Rosa, CA

Q: What is Fatemeh Bani-taba's NPI number?

The NPI number for Fatemeh Bani-taba is 1144413725. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Q: What is Fatemeh Bani-taba's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Fatemeh Bani-taba was last updated on August 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 27, 2007

401 BICENTENNIAL WAY, MOB EAST, SANTA ROSA, CA 95403(707) 571-5181(707) 571-4110 Get Directions Write a Review

NPPES record last updated: August 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Fatemeh Ahdi Bani-taba Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FATEMEH AHDI BANI-TABA PSYD (NPI 1144413725) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY18968) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1144413725

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. FATEMEH AHDI BANI-TABACredential: PSYD

Location Address401 BICENTENNIAL WAY, MOB EASTSanta Rosa, CA 95403-2149

Mailing AddressPo Box 6747Santa Rosa, CA 95406-0747 · (707) 571-5181 · Fax (707) 571-4110

Phone(707) 571-5181

Fax(707) 571-4110

Sole ProprietorYes

Enumeration DateAugust 27, 2007

✔ NPI 1144413725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY18968

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

401 BICENTENNIAL WAY, Santa Rosa, CA 95403

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JESSICA ANNE RUTLAND R.D.

Dietitian, Registered

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4787

KURT FALKENBERG P.T.

Physical Therapist

401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403

Sonoma County (707) 571-3352

DELILAH PATTERSON CRNA

Nurse Anesthetist, Certified Registered

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4616

KRISZTINA J. BALAZS MD

Pediatrics

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-4000

JOHN F. KUNKEL MD

Pathology (Anatomic Pathology)

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-4000

CRISTINA COREY SCHROEN LCSW

Social Worker (Clinical)

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-2536

JIE GIOK RAHARDJA PHARMD

Pharmacist

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4652

CONOR WILLIAM BOWMAN PHARM.D.

Pharmacist

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (818) 522-1238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fatemeh Bani-taba's NPI number?

The NPI number for Fatemeh Bani-taba is 1144413725. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Fatemeh Bani-taba located?

Fatemeh Bani-taba practices at 401 Bicentennial Way Mob East, Santa Rosa, CA 95403. The listed phone number is (707) 571-5181.

What is Fatemeh Bani-taba's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Fatemeh Bani-taba was last updated on August 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.