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MARYAM JABBARI AMIRI
NPI 1740762178
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since September 01, 2018
3075 ADELINE ST STE 120, BERKELEY, CA 94703(510) 848-1112 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 30, 2021, Oct 31, 2018, Sep 1, 2018 (3 updates tracked since 2018).

About Maryam Jabbari Amiri NPPES

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

MARYAM JABBARI AMIRI (NPI 1740762178) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1740762178
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARYAM JABBARI AMIRI
Location Address3075 ADELINE ST STE 120Berkeley, CA 94703-2579
Mailing Address3075 Adeline St Ste 120Berkeley, CA 94703-2579 · (510) 848-1112
Phone(510) 848-1112
Sole ProprietorNo
Enumeration DateSeptember 1, 2018
Last NPPES UpdateDecember 30, 20213 updates tracked since enumeration
✔ NPI 1740762178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3075 ADELINE ST STE 120, Berkeley, CA 94703
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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. JOANNE COSMOS FINN MA, MFTI
Counselor (Mental Health)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
MR. JEFFREY ALLEN SUITER PSY.D.
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
DR. ADAM MOSS PSYD
Psychologist (Clinical)
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
GLORIA ALEXIS VILLEGAS EIDE
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
SOPHIA KAUR SANDHU
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
STACY FRAUWIRTH OTR/L
Occupational Therapist
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 225-7519
KARMIT JACOBSON
Counselor
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112
CAITLIN ELLIS
Student in an Organized Health Care Education/Training Program
3075 ADELINE ST STE 120
BERKELEY, CA 94703
Alameda County (510) 848-1112

Frequently Asked Questions

What is Maryam Jabbari Amiri's NPI number?

The NPI number assigned to this healthcare provider is 1740762178, enumerated as an "individual" on September 01, 2018.

Where is the provider located?

The provider is located at 3075 ADELINE ST STE 120 BERKELEY, CA 94703 and the phone number is (510) 848-1112.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.