MR. EDWARD V. BRACKENBURY (NPI# 1164728309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164728309 |
| Entity Type | Individual |
| Full Name | MR. EDWARD V. BRACKENBURY |
| Credential | MFT |
| Practice Address |
1220 University Dr Menlo Park CA 94025-4262 |
| Mailing Address |
807 E Greenwich Pl Palo Alto CA 94303-3417 |
| Practice Telephone | 6593240619 |
| Practice Fax Number | 6503279521 |
| Mailing Telephone | 6503240619 |
| Mailing Fax Number | 6503279521 |
| Enumeration Date | 2011-02-06 |
| Last Update Date | 2011-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 7563 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MFT | MFC 7563 | 01 |
| Street Address |
1220 UNIVERSITY DR |
| City | MENLO PARK |
| State | CA |
| Zip Code | 94025-4262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619082047 | Dale Lawrence Pearlman | Dermatology | 1220 University Dr, Suite #203, Menlo Park, CA 94025-4265 | 2006-08-19 |
| 1629429055 | Lovina Chahal Md PC | Psychiatry & Neurology | 1220 University Dr, Suite 202, Menlo Park, CA 94025-4262 | 2016-06-27 |
| 1609243559 | Kathryn Ford | Psychiatry & Neurology | 1220 University Dr, Suite 201, Menlo Park, CA 94025-4262 | 2015-08-26 |
| 1235515875 | Meghan Fraley | Psychologist | 1220 University Dr, Suite 202, Menlo Park, CA 94025-4262 | 2015-08-05 |
| 1215298138 | Meridian Medicine LLC | Clinic/Center | 1220 University Dr, Suite 204, Menlo Park, CA 94025-4262 | 2012-06-07 |
| 1366713398 | Tyler Anne Webster | Psychologist | 1220 University Dr, Suite 103, Menlo Park, CA 94025-4262 | 2012-01-23 |
| 1356595714 | Lovina Chahal | Psychiatry & Neurology | 1220 University Dr, Ste 202, Menlo Park, CA 94025-4259 | 2008-11-12 |
| 1851544662 | Leigh Dickerson Watson | Psychologist | 1220 University Dr, Suite 103, Menlo Park, CA 94025-4262 | 2008-10-24 |
| 1811152994 | Lara Dye | Psychologist | 1220 University Dr, Suite 102, Menlo Park, CA 94025-4262 | 2008-07-28 |
| 1396912119 | Amy Bassell Crowe | Psychologist | 1220 University Dr, Suite #102, Menlo Park, CA 94025-4262 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350112 | Grail, Inc. | Clinical Medical Laboratory | 1525 O'brien Drive, Menlo Park, CA 94025 | 2020-09-09 |
| 1528673399 | Hanan Wasse | Occupational Therapist | 860 Fremont # Apt 2, Menlo Park, CA 94025 | 2020-09-09 |
| 1356967608 | Raymond Joseph Brinkmann | Counselor | 795 Willow Road Bldg 332, Menlo Park, CA 94025 | 2020-06-23 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1225661911 | Crossover Health Medical Group | Specialist | 193 Jefferson Dr., Menlo Park, CA 94025 | 2020-02-20 |
| 1942774732 | Irazema Garcia | Health Educator | 3000 Sand Hill Road, Building 3, Suite 240, Menlo Park, CA 94025 | 2019-01-15 |
| 1538639174 | Care Indeed, Inc. | Home Health | 890 Santa Cruz Ave., Menlo Park, CA 94025 | 2018-11-27 |
| 1639644370 | Wendy Figone | Massage Therapist | 575 Gilbert Ave., Menlo Park, CA 94025 | 2018-10-09 |
| 1437667540 | Christina E Kang | Nutritionist | 3639 Haven Ave Unit A424, Menlo Park, CA 94025 | 2018-01-11 |
| 1225492820 | Speachy Learning Center | Speech-Language Pathologist | 1164 Chestnut Street, Menlo Park, CA 94025 | 2016-04-09 |
| Find all providers in zip 94025 | ||||
| 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 |
|---|---|---|---|---|
| 1831796739 | Megan Chavez | Marriage & Family Therapist | 3705 Haven Ave Ste 134, Menlo Park, CA 94025-1011 | 2020-10-04 |
| 1245859883 | Connie Margarita Alonzo-frisz | Marriage & Family Therapist | Garfield Community School, 3600 Middlefield Rd, Menlo Park, CA 94025 | 2020-04-14 |
| 1164084422 | Hillary Fey Sinnott | Marriage & Family Therapist | 1150 University Dr Ste 106, Menlo Park, CA 94025-4447 | 2019-07-07 |
| 1215497375 | Barbara Salinger-brown | Marriage & Family Therapist | 321 Leland Ave, Menlo Park, CA 94025-6159 | 2019-03-23 |
| 1235603796 | Lyndsey Nelson | Marriage & Family Therapist | 1225 Crane St Ste 106b, Menlo Park, CA 94025-4253 | 2019-01-17 |
| 1063999324 | Julie A Norton | Marriage & Family Therapist | 1840 Camino De Los Robles, Menlo Park, CA 94025-5913 | 2018-07-19 |
| 1205334711 | Samuel Paul Donath | Marriage & Family Therapist | 3705 Haven Ave Ste 119, Menlo Park, CA 94025-1011 | 2018-01-30 |
| 1699289678 | Diana Ford | Marriage & Family Therapist | 661 Live Oak Ave, Menlo Park, CA 94025-4863 | 2017-11-29 |
| 1225563778 | Bay Area Children's Association | Marriage & Family Therapist | 1162 El Camino Real, Menlo Park, CA 94025-4308 | 2017-04-21 |
| 1821539685 | Amy C Friedman | Marriage & Family Therapist | 899 Santa Cruz Ave Ste 200, Menlo Park, CA 94025-4643 | 2017-03-13 |
| Find all providers in MENLO PARK | ||||
| City | MENLO PARK |
| Zip Code | 94025 |
Please comment or provide details below to improve the information on MR. EDWARD V. BRACKENBURY.
| 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.