BASIM ABRAHAM FARAH (NPI# 1154685907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154685907 |
| Entity Type | Individual |
| Full Name | BASIM ABRAHAM FARAH |
| Credential | MA CLINICAL PSY |
| Practice Address |
1800 Gravenstein Hwy N Sebastopol CA 95472-2607 |
| Mailing Address |
2631 Wild Bill Way Santa Rosa CA 95407-4561 |
| Practice Telephone | 7076349055 |
| Mailing Telephone | 9713447914 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2016-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSB94022610 | CA | Behavioral Health & Social Service Providers |
| Y | 225C00000X | Rehabilitation Counselor | PSB 94022610 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1800 GRAVENSTEIN HWY N |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639226814 | Tlc Child and Family Services | Clinic/Center | 1800 Gravenstein Hwy N, Bldg A - E, Sebastopol, CA 95472-2607 | 2007-01-03 |
| 1053926766 | Mary Peterson | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2020-09-10 |
| 1588206437 | Melissa Salini | Social Worker | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2019-10-11 |
| 1417446543 | Anna Vittoria Frattolillo | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2018-05-03 |
| 1700374147 | Melissa Coello | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2018-05-01 |
| 1619473295 | Elizabeth Barone | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2018-04-03 |
| 1720536329 | Lawrence Segrue | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2016-09-13 |
| 1053867739 | Heather Tidrick | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2016-08-31 |
| 1285095638 | Nima Saalabi | Counselor | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2016-03-14 |
| 1770985558 | Aimee Fouche | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2014-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| Taxonomy Code | 225C00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
| Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493754 | Eden Wylie | Rehabilitation Counselor | 1229 Broadway St, Richvale, CA 95974-9597 | 2020-10-05 |
| 1215568852 | Charles Fred Morgan IIi | Rehabilitation Counselor | 8685 Rio San Diego Dr Apt 4415, San Diego, CA 92108-6561 | 2020-02-02 |
| 1912564279 | Rosa Maria Espinoza | Rehabilitation Counselor | 4650 Wilshire Blvd # 53, Los Angeles, CA 90010-3807 | 2019-05-22 |
| 1871059717 | Keeya Onieka Charleston | Rehabilitation Counselor | 103 Dogwood St N, Oceanside, CA 92058-6654 | 2019-02-15 |
| 1053889923 | Dynisha Shellette Johnson | Rehabilitation Counselor | 631 Maple Ave # A, Los Angeles, CA 90014-2211 | 2018-11-08 |
| 1972081933 | Jazmin Ariel Llamas | Rehabilitation Counselor | 11741 Telegraph Rd Bldg A-d, Santa Fe Springs, CA 90670-3681 | 2018-08-01 |
| 1376020875 | Sara Sherman | Rehabilitation Counselor | 4650 W Sunset Blvd Ms # 53, Los Angeles, CA 90027-6062 | 2018-07-26 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1134580368 | Luz G. Ocegueda | Rehabilitation Counselor | 220 N.8th St., El Centro, CA 92243 | 2016-03-16 |
| Find all providers with the same taxonomy | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.