DEVON D'AVANZO (NPI# 1497257349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497257349 |
| Entity Type | Individual |
| Full Name | DEVON D'AVANZO |
| Practice Address |
1810 Hopkins St Berkeley CA 94707-2717 |
| Mailing Address |
13925 San Pablo Ave Ste 208 San Pablo CA 94806-3676 |
| Practice Telephone | 4166179806 |
| Mailing Telephone | 4154567724 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT110602 | CA | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | RBT-17-32057 | Behavioral Health & Social Service Providers |
| Street Address |
1810 HOPKINS ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94707-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306389556 | Tuyet-lyn Christensen | Marriage & Family Therapist | 925 The Alameda, Suite 23, Berkeley, CA 94707 | 2016-11-21 |
| 1457807208 | William L Carpenter | Registered Nurse | 875 Arlington Ave, Berkeley, CA 94707 | 2016-08-31 |
| 1992136451 | Zeph Locke | Marriage & Family Therapist | 1760 Solano Ave 300, Berkeley, CA 94707 | 2013-12-10 |
| 1295033553 | Emily Zubritsky | Counselor | 725 Spruce St., Berkeley, CA 94707 | 2011-03-09 |
| 1093025728 | Hajera Rostam | Psychologist | 970 Tulare Avenue, Berkeley, CA 94707 | 2010-10-15 |
| 1457689382 | Rand Steven Pallock | Marriage & Family Therapist | 1635 Soland Ave, Berkeley, CA 94707 | 2009-12-04 |
| 1598936957 | Doreen Ruth Downing | Psychologist | 1700 Solano Ave. Suite F, Berkeley, CA 94707 | 2008-03-13 |
| 1861688285 | Thomas James Hendrickson | Chiropractor | 388 Colusa Circle, Kensington, CA 94707 | 2007-09-19 |
| 1184827362 | Barbara Louise Mercer | Psychologist | 376 Colusa Avenue, Suite 1, Kensington, CA 94707 | 2007-06-06 |
| 1679780480 | Judithann H. David | Psychologist | 919 The Alameda Ste 5, 919 The Alameda Ste 5, Berkeley, CA 94707 | 2007-05-17 |
| Find all providers in zip 94707 | ||||
| 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 |
| 1134755457 | Elizabeth Anike Dejong | Marriage & Family Therapist | 2880 Sacramento St Ste A, Berkeley, CA 94702-2533 | 2020-03-18 |
| 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 |
| 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.