Provider Demographics
NPI:1376257923
Name:AHAD, NAKHTER (CMT, AMFT)
Entity Type:Individual
Prefix:
First Name:NAKHTER
Middle Name:
Last Name:AHAD
Suffix:
Gender:M
Credentials:CMT, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3175 ADELINE ST UNIT 3973
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-5046
Mailing Address - Country:US
Mailing Address - Phone:510-306-1231
Mailing Address - Fax:
Practice Address - Street 1:6201 FLORIO ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1333
Practice Address - Country:US
Practice Address - Phone:510-306-1231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73723225700000X
CA129330106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist