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FAREED MANGISTO
NPI 1376949479
Marriage & Family Therapist in San Diego, CA

Active since November 17, 2014
4120 ALABAMA ST APT 9, SAN DIEGO, CA 92104(619) 254-2876 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2024, Aug 11, 2020 (2 updates tracked since 2020).

About Fareed Mangisto NPPES

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

FAREED MANGISTO (NPI 1376949479) is an individual marriage & family therapist in San Diego, California, licensed in California (122951) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1376949479
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameFAREED MANGISTO
Location Address4120 ALABAMA ST APT 9San Diego, CA 92104-7021
Mailing Address4120 Alabama St Apt 9San Diego, CA 92104-7021 · (619) 254-2876
Phone(619) 254-2876
Sole ProprietorNo
Enumeration DateNovember 17, 2014
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1376949479 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 · 122951
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.
4120 ALABAMA ST APT 9, San Diego, CA 92104
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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 Fareed Mangisto's NPI number?

The NPI number for Fareed Mangisto is 1376949479. It was assigned to this individual provider in the NPPES registry on November 17, 2014.

Where is Fareed Mangisto located?

Fareed Mangisto practices at 4120 Alabama St Apt 9, San Diego, CA 92104. The listed phone number is (619) 254-2876.

What is Fareed Mangisto'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 Fareed Mangisto was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.