MR. SAMUEL ROBERT ANTRAM (NPI# 1316165970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316165970 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL ROBERT ANTRAM |
| Credential | MFT |
| Practice Address |
510 Broadway Suite 201 Millbrae CA 94030-1966 |
| Mailing Address |
2480 Rosewood Dr San Bruno CA 94066-4023 |
| Practice Telephone | 6503025020 |
| Mailing Telephone | 6508722760 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC33965 | CA | Behavioral Health & Social Service Providers |
| Street Address |
510 BROADWAY SUITE 201 |
| City | MILLBRAE |
| State | CA |
| Zip Code | 94030-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962415521 | Diane Marquez Howard | Marriage & Family Therapist | 510 Broadway, Suite 201, Millbrae, CA 94030-1966 | 2006-08-14 |
| 1457538233 | Karen Cooley | Marriage & Family Therapist | 510 Broadway, Suite 201, Millbrae, CA 94030-1966 | 2008-01-23 |
| 1023165602 | Norman Philip Arslan | Marriage & Family Therapist | 510 Broadway, #201, Millbrae, CA 94030-1966 | 2007-01-04 |
| 1760539399 | Judith Anne Durkac | Marriage & Family Therapist | 510 Broadway, #201, Millbrae, CA 94030-1966 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922571389 | Zeyu Wang | Acupuncturist | 201 El Camino Real, Millbrae, CA 94030 | 2019-01-09 |
| 1285143578 | Michele Marie Zlatunich | Doula | 105 Lerida Avenue, Millbrae, CA 94030 | 2017-09-29 |
| 1437677531 | Optica Optometry Corporation | Optometrist | 199a Taylor Boulevard, Millbrae, CA 94030 | 2017-09-08 |
| 1912445339 | Taylor Swift | Counselor | 222 Beverly Ave, Millbrae, CA 94030 | 2017-02-06 |
| 1932338381 | Randall Craig Medefesser | Dentist | 1149 Oakwood Drive, Millbrae, CA 94030 | 2009-07-07 |
| 1568678563 | Martin David Storman | Marriage & Family Therapist | 1250 Murchison Dr, Millbrae, CA 94030 | 2007-05-15 |
| 1730393703 | Tz-jeng Yang | Acupuncturist | 199 California Dr. Suite 120 B&c, Millbrae, CA 94030 | 2007-05-09 |
| 1538218748 | Christopher Joseph Bronzini | Dentist | 101 Taylor Blvd, Millbrae, CA 94030 | 2007-01-09 |
| 1427110519 | Xuehua Peng | Acupuncturist | 474 Ei Camino Real, Suite 418, Millbrae, CA 94030 | 2006-12-14 |
| 1861551723 | Maria Valerie Pozon De Leon | Dentist | 15 El Camino Real, Millbrae, CA 94030 | 2006-12-07 |
| Find all providers in zip 94030 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568678563 | Martin David Storman | Marriage & Family Therapist | 1250 Murchison Dr, Millbrae, CA 94030 | 2007-05-15 |
| 1245379361 | Dyanne Helen Pienkowski | Marriage & Family Therapist | 199 California Dr, Suite 204, Millbrae, CA 94030-3125 | 2007-02-05 |
| 1962415521 | Diane Marquez Howard | Marriage & Family Therapist | 510 Broadway, Suite 201, Millbrae, CA 94030-1966 | 2006-08-14 |
| 1457538233 | Karen Cooley | Marriage & Family Therapist | 510 Broadway, Suite 201, Millbrae, CA 94030-1966 | 2008-01-23 |
| 1023165602 | Norman Philip Arslan | Marriage & Family Therapist | 510 Broadway, #201, Millbrae, CA 94030-1966 | 2007-01-04 |
| 1760539399 | Judith Anne Durkac | Marriage & Family Therapist | 510 Broadway, #201, Millbrae, CA 94030-1966 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467291 | Jasmine Oganesyan | Marriage & Family Therapist | 29217 Flowerpark Dr, Santa Clarita, CA 91387-1807 | 2020-11-08 |
| 1760083463 | John Nelson | Marriage & Family Therapist | 4625 Mountain Lakes Blvd, Redding, CA 96003-1450 | 2020-11-08 |
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1760083679 | Heidi J Flanagan | Marriage & Family Therapist | 705 Sunrise Ave, D115, Roseville, CA 95661-6411 | 2020-11-06 |
| 1447851266 | Gloria Alice Lakin | Marriage & Family Therapist | 2720 Neilson Way # 5564, Santa Monica, CA 90405-4060 | 2020-11-06 |
| 1497356398 | Lourdes Loyola | Marriage & Family Therapist | 15720 Ventura Blvd Ste 603, Encino, CA 91436-4727 | 2020-11-06 |
| 1639770761 | Renee Lopez-delfino | Marriage & Family Therapist | 1244 Heatherstone Way, Sunnyvale, CA 94087-1537 | 2020-11-04 |
| 1346841558 | Jennifer Spiegel Aune | Marriage & Family Therapist | 810 College Ave Ste 1a, Kentfield, CA 94904-2565 | 2020-11-04 |
| 1225639495 | Bringing Medicine Culturally Competent Counseling and Indigenous | Marriage & Family Therapist | 206 Sacramento St Suite 212, Nevada, CA 95959 | 2020-11-04 |
| 1689275810 | Milestone Marriage and Family Therapy Services Professional Corporati | Marriage & Family Therapist | 10601 Civic Center Dr Ste 100a-d, Rancho Cucamonga, CA 91730-3878 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
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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.