Provider Demographics
NPI:1205971090
Name:SAKHAI, ROYA (MFT)
Entity type:Individual
Prefix:
First Name:ROYA
Middle Name:
Last Name:SAKHAI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 BROADWAY
Mailing Address - Street 2:SUITE 732
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-2506
Mailing Address - Country:US
Mailing Address - Phone:510-451-0661
Mailing Address - Fax:
Practice Address - Street 1:1330 BROADWAY
Practice Address - Street 2:SUITE 732
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-2506
Practice Address - Country:US
Practice Address - Phone:510-451-0661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33703106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA101Y00000XOtherNONPROFIT
CA106H00000XOtherNONPROFIT