Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mitra N/A Taheri

Individual provider Marriage & Family Therapist · NPI 1417199829

Mitra N/A Taheri is a Marriage and Family Therapist in San Jose, California. Qualified in 1992, 34 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
34
Licensed in
CA
In the registry since
2009
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Practice location Address checks out

1885 The Alameda Ste 100K
San Jose, CA 95126-1744
Phone: (408) 202-1309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 49018 (CA)

Record details

NPI number1417199829
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2009
Last updated in NPPESDecember 27, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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