JEREMY BERLIN


Address: 5755 Mountain Hawk Dr Ste 201, Santa Rosa, CA 95409-4451
Phone: 7072225874

JEREMY BERLIN (NPI# 1407492101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407492101
Entity Type Individual
Full Name JEREMY BERLIN
Practice Address 5755 Mountain Hawk Dr Ste 201
Santa Rosa
CA 95409-4451
Practice Telephone 7072225874
Mailing Telephone 7072225874
Enumeration Date 2019-11-18
Last Update Date 2020-03-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2455 Bennett Valley Rd Ste B201, Santa Rosa, CA 954045667 7075204357

Office Location

Street Address 5755 MOUNTAIN HAWK DR STE 201
City SANTA ROSA
State CA
Zip Code 95409-4451

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568005205 Angela Tejeda Counselor 35555 Sonoma Hwy, Santa Rosa, CA 95409 2019-10-25
1609335314 Heidi Diebel Marriage & Family Therapist 9291 Oak Trail Cir, Santa Rosa, CA 95409 2019-03-13
1427525328 Christopher William Schouest Behavioral Analyst 5424 Sharon St., Santa Rosa, CA 95409 2018-10-29
1194178756 Ana Ceniceros Registered Nurse 7425 Los Guilucos Rd, Santa Rosa, CA 95409 2016-07-19
1669842878 Kimberly Harris Counselor 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 2015-09-30
1568884849 Christopher Cincotta Counselor 540 Middle Rincon Road, Santa Rosa, CA 95409 2014-01-06
1104186626 Gina Ruth Sarpy Marriage & Family Therapist 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 2012-05-17
1467745950 Courtney King Family Medicine 4702 Starbuck Ave, Santa Rosa, CA 95409 2011-05-17
1427351162 Robert E Richardson Md Professional Corp. Surgery 1812 Happy Valley Road, Santa Rosa, CA 95409 2010-12-20
1497063564 Edmundo Simon Martinez IIi IIi Occupational Therapist 5555 Montgomery Dr., Santa Rosa, CA 95409 2010-09-22
Find all providers in zip 95409

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386269918 Debra Gold Marriage & Family Therapist 835 Piner Rd, Santa Rosa, CA 95403-2063 2020-06-09
1619590700 Cameron Craig Lutchansky Marriage & Family Therapist 2235 Mercury Way Ste 240, Santa Rosa, CA 95407-5443 2020-05-22
1689294498 Pamela Jo Peringer Marriage & Family Therapist 2345 Morningside Cir, Santa Rosa, CA 95405-9132 2020-04-22
1467004028 Megan Barajas Marriage & Family Therapist 3440 Mendocino Ave, Santa Rosa, CA 95403-2221 2019-07-14
1275193674 Marie Romano Marriage & Family Therapist 3434 Mendocino Ave Bldg C, Santa Rosa, CA 95403-2274 2019-06-18
1851956932 Amy Theodore Marriage & Family Therapist 2455 Bennett Valley Rd Ste B201, Santa Rosa, CA 95404-5667 2019-05-05
1609335314 Heidi Diebel Marriage & Family Therapist 9291 Oak Trail Cir, Santa Rosa, CA 95409 2019-03-13
1114413952 Jordan Morrison Marriage & Family Therapist 1260 N Dutton Ave Ste 230, Santa Rosa, CA 95401-7161 2018-07-05
1568958437 Bianca Avina Marriage & Family Therapist 95 Montgomery Dr. #112, Santa Rosa, CA 95404 2018-07-03
1174012710 Humanidad Therapy and Education Services Marriage & Family Therapist 95 Montgomery Dr Ste 112, Santa Rosa, CA 95404-6617 2018-05-09
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95409

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Dataset Information

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.

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