MACKENZIE SODESTROM (NPI# 1356864854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356864854 |
| Entity Type | Individual |
| Full Name | MACKENZIE SODESTROM |
| Credential | MA |
| Practice Address |
287 17th St Ste 205 Oakland CA 94612 |
| Mailing Address |
287 17th St Ste 205 Oakland CA 94612-4116 |
| Practice Telephone | 5102101191 |
| Mailing Telephone | 5102101191 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
287 17TH ST STE 205 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1942746664 | Monica Forero | Acupuncturist | 332 19th Street, Oakland, CA 94612 | 2017-01-19 |
| Find all providers in zip 94612 | ||||
| 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 |
|---|---|---|---|---|
| 1861008328 | Kathleen Day | Marriage & Family Therapist | 490 Lake Park Ave Unit 16027, Oakland, CA 94610-8039 | 2020-09-21 |
| 1487269031 | Philip A Tecau | Marriage & Family Therapist | 5120 Miles Ave, Oakland, CA 94618 | 2020-09-10 |
| 1619587219 | Katharine Cruz | Marriage & Family Therapist | 6408 Irwin Ct Apt 1, Oakland, CA 94609-1169 | 2020-08-07 |
| 1831708544 | Jennifer Sara Diamond | Marriage & Family Therapist | 5297 College Ave Ste 102, Oakland, CA 94618-1462 | 2020-07-28 |
| 1891312252 | Maya Ilana Attia | Marriage & Family Therapist | 6926 Chambers Dr, Oakland, CA 94611-1304 | 2020-07-01 |
| 1649894239 | Diana Christine Coleman | Marriage & Family Therapist | 6101 Broadway Ter, Oakland, CA 94618-2015 | 2020-05-30 |
| 1730701301 | Dot Center - Marriage and Family Therapy Inc. | Marriage & Family Therapist | 1624 Franklin St Ste 911, Oakland, CA 94612-2824 | 2020-05-17 |
| 1477173029 | Danielle Saunders | Marriage & Family Therapist | 3345 Grand Ave Ste 1, Oakland, CA 94610-2772 | 2020-04-23 |
| 1912534371 | Naomi Kimmelman | Marriage & Family Therapist | 3085 Capp St, Oakland, CA 94602-2703 | 2020-03-25 |
| 1346875200 | Jenner Bishop | Marriage & Family Therapist | 2938 Webster St # 200, Oakland, CA 94609-3407 | 2020-03-11 |
| Find all providers in OAKLAND | ||||
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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.