THEDORIA D EJIMADU
NPI 1417264755
Marriage & Family Therapist in Fairfield, CA

Q: What is Thedoria Ejimadu's NPI number?

The NPI number for Thedoria Ejimadu is 1417264755. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Q: What is Thedoria Ejimadu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thedoria Ejimadu was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 08, 2010

275 BECK AVE., FAIRFIELD, CA 94533(707) 784-1934 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2023, Jul 29, 2019 (2 updates tracked since 2019).

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About Thedoria D Ejimadu NPPES

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

THEDORIA D EJIMADU (NPI 1417264755) is an individual marriage & family therapist in Fairfield, California, licensed in California (114499) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1417264755

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTHEDORIA D EJIMADU

Location Address275 BECK AVE.Fairfield, CA 94533

Mailing Address2428 Hooftrail WayAntioch, CA 94531-8919 · (707) 694-5677

Phone(707) 784-1934

Sole ProprietorNo

Enumeration DateSeptember 8, 2010

Last NPPES UpdateApril 5, 20232 updates tracked since enumeration

NPPES CertifiedApril 5, 2023

✔ NPI 1417264755 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 · 114499

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.

275 BECK AVE., Fairfield, CA 94533

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Other Identifiers 1

Medicaid1417264755CA

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 Thedoria Ejimadu's NPI number?

The NPI number for Thedoria Ejimadu is 1417264755. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Where is Thedoria Ejimadu located?

Thedoria Ejimadu practices at 275 Beck Ave., Fairfield, CA 94533. The listed phone number is (707) 784-1934.

What is Thedoria Ejimadu'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 Thedoria Ejimadu was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.