MS. BEVERLY M BREAKEY (NPI# 1417120767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417120767 |
| Entity Type | Individual |
| Full Name | MS. BEVERLY M BREAKEY |
| Credential | LMFT |
| Practice Address |
1420 W Kettleman Ln Ste R Lodi CA 95242 |
| Practice Telephone | 2093342053 |
| Practice Fax Number | 2093344149 |
| Mailing Telephone | 2093342053 |
| Mailing Fax Number | 2093344149 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC30755 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1420 W KETTLEMAN LN STE R |
| City | LODI |
| State | CA |
| Zip Code | 95242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659360907 | Kenneth Alexander Delu | Chiropractor | 1420 W Kettleman Ln, B3, Lodi, CA 95242-4557 | 2005-10-19 |
| 1295356350 | Megan Belzer | Dietitian, Registered | 1420 W Kettleman Ln, Lodi, CA 95242-4557 | 2020-04-29 |
| 1114302742 | Elixir Home Health Care & Hospice,inc. | Home Health | 1420 W Kettleman Ln, Suite S2, Lodi, CA 95242-4557 | 2015-07-24 |
| 1467837096 | Elixir Home Health Care & Hospice,inc. | Hospice Care, Community Based | 1420 W Kettleman Ln, Suite S1, Lodi, CA 95242-4557 | 2015-07-24 |
| 1023408036 | Delu Chiropractic | Chiropractor | 1420 W Kettleman Ln, B2, Lodi, CA 95242-4557 | 2015-01-28 |
| 1558666982 | Nautico Incorporated | Counselor | 1420 W Kettleman Ln, Suite R, Lodi, CA 95242-4557 | 2011-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| 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 |
|---|---|---|---|---|
| 1437639713 | Kristen Elaine Holmes | Marriage & Family Therapist | 13451 N Extension Rd, Lodi, CA 95242-9249 | 2018-08-16 |
| 1720461403 | Edward L Krager | Marriage & Family Therapist | 510 S Fairmont Ave Ste 1, Lodi, CA 95240-3800 | 2015-06-30 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1629418678 | Katelyn Elizabeth Zodikoff | Marriage & Family Therapist | 1120 W Oak St, Lodi, CA 95240-2825 | 2013-07-04 |
| 1760782460 | Malcolm Andrew Berean | Marriage & Family Therapist | 1338 S School St Ste A, Lodi, CA 95240-5700 | 2010-10-27 |
| 1245560648 | Gene Evans Napier | Marriage & Family Therapist | 801 S Lower Sacramento Rd, Lodi, CA 95242-3636 | 2010-01-06 |
| 1437300423 | Lise Helen Bachman-karnes | Marriage & Family Therapist | 330 S Fairmont Ave Ste 7, Lodi, CA 95240-3843 | 2008-10-08 |
| 1376794479 | Sheila Layah Mulvihill | Marriage & Family Therapist | 5 1/2 W Pine St, Suite 8, Lodi, CA 95240-2158 | 2008-10-07 |
| 1790900819 | Becky Jane Dalporto | Marriage & Family Therapist | 12755 North Hwy 88, Lodi, CA 95240 | 2007-04-16 |
| 1336267996 | Tammy Andra Souza | Marriage & Family Therapist | 404 W. Pine Street, Suite 1, Lodi, CA 95240 | 2007-03-26 |
| Find all providers in LODI | ||||
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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.