GERSON YESTIN BRAVO (NPI# 1700431459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700431459 |
| Entity Type | Individual |
| Full Name | GERSON YESTIN BRAVO |
| Credential | AMFT, APCC |
| Practice Address |
1053 N D St San Bernardino CA 92410-3521 |
| Practice Telephone | 9095224656 |
| Mailing Telephone | 9095224656 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 113727 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1053 N D ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92410-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831207489 | Richard George Myatt | Marriage & Family Therapist | 1053 N D St, San Bernardino, CA 92410-3521 | 2006-08-25 |
| 1679103543 | Tracy Lynn Wainwright | Marriage & Family Therapist | 1053 N D St, San Bernardino, CA 92410-3521 | 2020-01-20 |
| 1174165468 | Elva Alejandra Silva | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-10-08 |
| 1477102796 | Kathryn Christensen | Marriage & Family Therapist | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-09-09 |
| 1780232330 | Victor Samuel Ramirez | Marriage & Family Therapist | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-08-27 |
| 1669029039 | Natalie Salas | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-08-21 |
| 1689226672 | Altanyce Brown | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-07-10 |
| 1679133235 | Jessica Jimenez | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-06-17 |
| 1922668854 | Beatrice A De La Cerra | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-06-13 |
| 1265096358 | Maira Cristina Ortega | Counselor | 1053 N D St, San Bernardino, CA 92410-3521 | 2019-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303472 | Reina Elora Garcia | Student in an Organized Health Care Education/Training Program | 775 E Base Line St Spc 4, San Bernardino, CA 92410 | 2018-04-10 |
| 1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1881058592 | Terron Thomas | Contractor | 445 South G, Unit B, San Bernardino, IN 92410 | 2016-04-08 |
| 1982064572 | Zachary Norton-martinez | Specialist/Technologist | 650 Del Rosa Dr, San Bernardino, CA 92410 | 2016-02-25 |
| 1003280934 | Brenda Boyle | Nurse Practitioner | 1455 East 3rd Street, San Bernardino, CA 92410 | 2015-11-16 |
| 1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
| 1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
| Find all providers in zip 92410 | ||||
| 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 |
|---|---|---|---|---|
| 1164031886 | Sarah Lynne Beaver | Marriage & Family Therapist | 1314 E Date St, San Bernardino, CA 92404-4234 | 2020-07-28 |
| 1437772316 | Irene Dean Reynosa | Marriage & Family Therapist | 5182 Sundance Dr, San Bernardino, CA 92407-2994 | 2020-05-26 |
| 1396384442 | Jeffrey Boyd Inc. | Marriage & Family Therapist | 409 W 17th St, San Bernardino, CA 92405-4413 | 2020-01-06 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1215409727 | Mariela Aguilera Medrano | Marriage & Family Therapist | 766 N Waterman Ave, San Bernardino, CA 92410-4435 | 2018-12-21 |
| 1083196166 | Lobban Marriage and Family Therapy Inc | Marriage & Family Therapist | 473 E. Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2018-09-05 |
| 1932699980 | Christiana Schenck | Marriage & Family Therapist | 720 East Gilbert Street, San Bernardino, CA 92415-0001 | 2018-05-15 |
| 1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
| 1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92410 |
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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.