MR. MICHAEL STEVEN JEREB (NPI# 1285935478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285935478 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL STEVEN JEREB |
| Credential | M.F.T. |
| Practice Address |
631 Tennesse St Vallejo CA 94590 |
| Mailing Address |
P.o. Box 10043 American Canyon CA 94503 |
| Practice Telephone | 7074213021 |
| Practice Fax Number | 7072563102 |
| Mailing Telephone | 7074213021 |
| Mailing Fax Number | 7072563102 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT33781 | CA | Behavioral Health & Social Service Providers |
| Street Address |
631 TENNESSE ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| 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 |
|---|---|---|---|---|
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1134633068 | Keshia R Ingram | Marriage & Family Therapist | 27 Chase St Apt A, Vallejo, CA 94590-7007 | 2017-11-30 |
| 1538512025 | Tristram King | Marriage & Family Therapist | 157 Sunnyglen Dr, Vallejo, CA 94591-7553 | 2016-07-20 |
| 1861858409 | Maurice Orr Travis | Marriage & Family Therapist | 236 Georgia St Ste 102, Vallejo, CA 94590-5962 | 2016-01-12 |
| 1346612942 | Jaime Betancur | Marriage & Family Therapist | 125 Corporate Pl # A, Vallejo, CA 94590-6968 | 2015-10-22 |
| 1215309711 | Michele Darnett Williams | Marriage & Family Therapist | 125 Corporate Pl Ste A, Vallejo, CA 94590-6968 | 2015-10-22 |
| 1922352715 | James Orlando | Marriage & Family Therapist | 935 York St, Vallejo, CA 94590-6254 | 2012-11-01 |
| 1225325376 | Evelyn Polk | Marriage & Family Therapist | 312 Georgia St, Suite #225, Vallejo, CA 94590-5964 | 2011-07-08 |
| 1366758294 | Irene Velasco | Marriage & Family Therapist | 1004 Marin St, Vallejo, CA 94590-5603 | 2010-08-30 |
| 1760637094 | Michael Postell | Marriage & Family Therapist | 631 Tennessee St Ste 208, Vallejo, CA 94590-4432 | 2008-12-01 |
| Find all providers in VALLEJO | ||||
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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.