PANTHEA RAZAVI
NPI 1891320131
Marriage & Family Therapist in Nevada City, CA

Q: What is Panthea Razavi's NPI number?

The NPI number for Panthea Razavi is 1891320131. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Q: What is Panthea Razavi'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 Panthea Razavi was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 06, 2020PECOS Enrolled

202 PROVIDENCE MINE RD STE 105, NEVADA CITY, CA 95959(530) 277-2046 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, Jun 4, 2024, May 3, 2024 and 1 more (4 updates tracked since 2020).

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About Panthea Razavi NPPES

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

PANTHEA RAZAVI (NPI 1891320131) is an individual marriage & family therapist in Nevada City, California, licensed in California (LMFT146475) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1891320131

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NamePANTHEA RAZAVI

Location Address202 PROVIDENCE MINE RD STE 105Nevada City, CA 95959-2945

Mailing AddressPo Box 5653Orange, CA 92863-5653 · (949) 342-6803

Phone(530) 277-2046

Sole ProprietorNo

Enumeration DateMarch 6, 2020

Last NPPES UpdateJuly 25, 20244 updates tracked since enumeration

NPPES CertifiedJuly 25, 2024

✔ NPI 1891320131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT146475

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

202 PROVIDENCE MINE RD STE 105, Nevada City, CA 95959

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Secondary Practice Location 1

Location 11075 N Tustin St Unit 5653Orange, CA 92863 · Phone (949) 342-6803

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Panthea Razavi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

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

MAYA WATERSTAR AMFT

Marriage & Family Therapist