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ABDUREZIK TEGABU AMBAW
NPI 1205526092
Marriage & Family Therapist in San Jose, CA

Active since May 15, 2023
825 HILLSDALE AVE, SAN JOSE, CA 95136(408) 513-7154 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, May 15, 2023 (2 updates tracked since 2023).

About Abdurezik Tegabu Ambaw NPPES

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

ABDUREZIK TEGABU AMBAW (NPI 1205526092) is an individual marriage & family therapist in San Jose, California, licensed in California (147993) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1205526092
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameABDUREZIK TEGABU AMBAW
Location Address825 HILLSDALE AVESan Jose, CA 95136-1113
Mailing Address825 Hillsdale AveSan Jose, CA 95136-1113 · (408) 513-7154
Phone(408) 513-7154
Sole ProprietorYes
Enumeration DateMay 15, 2023
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1205526092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 147993
Definition
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.
825 HILLSDALE AVE, San Jose, CA 95136
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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 Abdurezik Ambaw's NPI number?

The NPI number for Abdurezik Ambaw is 1205526092. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Abdurezik Ambaw located?

Abdurezik Ambaw practices at 825 Hillsdale Ave, San Jose, CA 95136. The listed phone number is (408) 513-7154.

What is Abdurezik Ambaw's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Abdurezik Ambaw was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.