Healthcare Provider Details

I. General information

NPI: 1376257923
Provider Name (Legal Business Name): NAKHTER AHAD CMT, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 FLORIO ST
OAKLAND CA
94618-1333
US

IV. Provider business mailing address

3175 ADELINE ST UNIT 3973
BERKELEY CA
94703-5046
US

V. Phone/Fax

Practice location:
  • Phone: 510-306-1231
  • Fax:
Mailing address:
  • Phone: 510-306-1231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161990
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number73723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: