BAY AREA MARRIAGE AND FAMILY THERAPY & COACHING, INC. (NPI# 1912433434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912433434 |
Entity Type | Organization |
Organization Name | BAY AREA MARRIAGE AND FAMILY THERAPY & COACHING, INC. |
Other Organization Name | ENGLE CENTER |
Practice Address |
1265 65th St Emeryville CA 94608 |
Mailing Address |
340 S Lemon Avenue Pmb 8764 Walnut CA 91789 |
Practice Telephone | 5107962000 |
Mailing Telephone | 5105649700 |
Enumeration Date | 2017-05-03 |
Last Update Date | 2018-07-31 |
Authorized Official Name | MS. JESSICA ANNE ENGLE (DIRECTOR) |
Authorized Official Telephone | 5105649700 |
Authorized Official Credential | MA, MFT, RDT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106H00000X | Marriage & Family Therapist | 103949 | CA | Behavioral Health & Social Service Providers |
Y | 106H00000X | Marriage & Family Therapist | 81850 | CA | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Bay Area Dating Coach | Doing Business As Name - Organization |
Engle Center | Doing Business As Name - Organization |
Social Anxiety Support Center | Doing Business As Name - Organization |
Street Address |
1265 65TH ST |
City | EMERYVILLE |
State | CA |
Zip Code | 94608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730388174 | Kaye Suzanne Anderson | Social Worker | 1265 65th St, Emeryville, CA 94608-1110 | 2007-07-16 |
1437758422 | Center for The Living Arts | Counselor | 1265 65th St, Emeryville, CA 94608-1110 | 2020-10-20 |
1811411028 | Adrian Orozco Blair | Marriage & Family Therapist | 1265 65th St, Emeryville, CA 94608-1110 | 2017-07-29 |
1376924860 | Jessica Engle | Marriage & Family Therapist | 1265 65th St, Emeryville, CA 94608-1110 | 2015-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
1457853921 | Jimmy Yan | Behavior Technician | 5900 Hollis Street Suite X, Emeryville, CA 94608 | 2018-03-01 |
1609395961 | Bay Wellness | Durable Medical Equipment & Medical Supplies | 5715 Market St Ste #d, Oakland, CA 94608 | 2017-09-18 |
1871023630 | Philip Staley | Registered Nurse | 1890 Alcatraz Avenue, Berkeley, CA 94608 | 2017-06-14 |
1114379120 | Leah Jane Tapscott | Registered Nurse | 6121 Hollis St Ste 900, Emeryville, CA 94608 | 2016-07-01 |
1295122273 | Paramjit S Virk | Nurse Practitioner | 888 Stanford Ave., Oakland, CA 94608 | 2015-04-17 |
1295123453 | Sports Injury Medical Group | Preferred Provider Organization | 5900 Hollis St., Suite K, Emeryville, CA 94608 | 2014-12-22 |
1144630583 | Adeline Lopez | Social Worker | 925 Brockhurst St., Oakland, CA 94608 | 2014-05-07 |
1710201603 | Rachna Gurjeet Wadia | Pediatrics | 6121 Hollis St. Suite #2, Emeryville, CALIFORNIA 94608 | 2010-03-21 |
1184872285 | I 5 Medical Group, Inc. | Clinic/Center | 5915 B Hollis Street, Emeryville, CA 94608 | 2008-09-03 |
Find all providers in zip 94608 |
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 |
---|---|---|---|---|
1053923508 | Tralee Johnson | Marriage & Family Therapist | 6363 Christie Ave Apt 2225, Emeryville, CA 94608-1947 | 2020-08-17 |
1831362235 | Kyung Sneed | Marriage & Family Therapist | 2 Admiral Dr Apt 279, Emeryville, CA 94608-1572 | 2008-04-07 |
1427267061 | Barry Lee Hurford | Marriage & Family Therapist | 2 Commodore Dr, D-381, Emeryville, CA 94608-1645 | 2007-05-21 |
1487716270 | Sandra Amador Mora | Marriage & Family Therapist | 1240 Powell St Ste 2d, Emeryville, CA 94608-2600 | 2006-12-15 |
1295808707 | Estelle Frances Rubenstein | Marriage & Family Therapist | 1052 43rd St, Emeryville, CA 94608-3640 | 2006-11-15 |
1760594915 | Farnaz Etemadieh | Marriage & Family Therapist | 5 Commodore Dr, Suite B306, Emeryville, CA 94608-1648 | 2006-08-31 |
1437625571 | Maura Amaral | Marriage & Family Therapist | 1375 55th St, Emeryville, CA 94608-2609 | 2018-10-16 |
1811411028 | Adrian Orozco Blair | Marriage & Family Therapist | 1265 65th St, Emeryville, CA 94608-1110 | 2017-07-29 |
1376924860 | Jessica Engle | Marriage & Family Therapist | 1265 65th St, Emeryville, CA 94608-1110 | 2015-06-10 |
1164810859 | Laura Michele Gardner | Marriage & Family Therapist | 1240 Powell St, Suite 2c, Emeryville, CA 94608-2600 | 2015-01-02 |
Find all providers in EMERYVILLE |
City | EMERYVILLE |
Zip Code | 94608 |
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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.