ELIZABETH ANIKE DEJONG (NPI# 1134755457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134755457 |
Entity Type | Individual |
Full Name | ELIZABETH ANIKE DEJONG |
Credential | LMFT 114179 |
Practice Address |
2880 Sacramento St Ste A Berkeley CA 94702-2533 |
Practice Telephone | 5105996932 |
Mailing Telephone | 5105996932 |
Enumeration Date | 2020-03-18 |
Last Update Date | 2020-03-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 114179 | CA | Behavioral Health & Social Service Providers |
Street Address |
2880 SACRAMENTO ST STE A |
City | BERKELEY |
State | CA |
Zip Code | 94702-2533 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
Find all providers in zip 94702 |
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 |
---|---|---|---|---|
1407456320 | Debby Liang | Marriage & Family Therapist | 2140 Shattuck Ave Ste 804, Berkeley, CA 94704-1229 | 2020-10-29 |
1770100513 | Ferris Wahl | Marriage & Family Therapist | 1211 Ward St, Berkeley, CA 94702-2235 | 2020-06-27 |
1356962310 | Donald Ira Bender | Marriage & Family Therapist | 1164 Euclid Ave, Berkeley, CA 94708-1603 | 2020-04-30 |
1780213504 | Ryan Maria Peter Buchholz | Marriage & Family Therapist | 1611 San Pablo Ave, Berkeley, CA 94702-1375 | 2020-04-03 |
1396373544 | Daria Elizabeth Wrubel | Marriage & Family Therapist | 2576 Shattuck Ave Ste 2, Berkeley, CA 94704-2724 | 2020-03-31 |
1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
1063982874 | Juliane C M Brown | Marriage & Family Therapist | 921 The Alameda Ste 227, Berkeley, CA 94707-2311 | 2018-12-05 |
1063919355 | Anna Nicole Lewis | Marriage & Family Therapist | 3120 Telegraph Ave Ste 7d, Berkeley, CA 94705-1965 | 2018-04-12 |
1497257349 | Devon D'avanzo | Marriage & Family Therapist | 1810 Hopkins St, Berkeley, CA 94707-2717 | 2018-03-07 |
1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
Find all providers in BERKELEY |
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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.