LATISHA FUNMILOLA IBIRONKE (NPI# 1619003258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619003258 |
| Entity Type | Individual |
| Full Name | LATISHA FUNMILOLA IBIRONKE |
| Practice Address |
1820 Scenic Ave Berkeley CA 94709-1324 |
| Mailing Address |
2323 Hearst Ave Berkeley CA 94709-1319 |
| Practice Telephone | 5105487270 |
| Practice Fax Number | 5108414722 |
| Mailing Telephone | 5105266200 |
| Mailing Fax Number | 5106653176 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 46518 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1820 SCENIC AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94709-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616537 | Ian Cooper | Counselor | 1820 Scenic Ave, Berkeley, CA 94709-1324 | 2019-12-11 |
| 1659929891 | Ricardo Alvarez | Counselor | 1820 Scenic Ave, Berkeley, CA 94709-1395 | 2019-08-30 |
| 1760947485 | Kyle Battaglia Faircloth | Counselor | 1820 Scenic Ave, Berkeley, CA 94709-1324 | 2019-02-06 |
| 1194298505 | Cecily Mcgaw | Counselor | 1820 Scenic Ave, Berkeley, CA 94709-1324 | 2019-01-08 |
| 1639694755 | Franklin Reed Condon | Counselor | 1820 Scenic Ave, Berkeley, CA 94709-1324 | 2017-08-09 |
| 1417499484 | Brent Stokes | Counselor | 1820 Scenic Ave, Berkeley, CA 94709-1324 | 2016-11-08 |
| 1922553536 | Josph Martinez | Counselor | 1820 Scenic Ave, Berkeley, CA 94709-1324 | 2016-08-24 |
| 1326591900 | Tanya Rabago | Counselor | 1820 Scenic Ave, Berkeley, CA 94709-1324 | 2016-07-29 |
| 1851844666 | Shawna Mcgourty | Counselor | 1820 Scenic Ave, Berkeley, CA 94709-1324 | 2016-07-27 |
| 1679026611 | Sheri Cisneros | Counselor | 1820 Scenic Ave, Berkeley, CA 94709-1324 | 2016-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
| 1689189763 | Lynn Rubin | Marriage & Family Therapist | 1524 Henry St., Berkeley, CA 94709 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1558804708 | Tylynn Ludwig | Dietitian, Registered | 1525 Shattuck Ave Ste G, Berkeley, CA 94709 | 2016-11-21 |
| 1528316171 | Leeat Zwick-louvton | Physical Therapist | 2209 Glen Ave, Berkeley, CA 94709 | 2012-08-29 |
| 1497016588 | City of Berkeley | Case Management | 1901 Hearst Street, Berkeley, CA 94709 | 2012-06-05 |
| 1841591914 | Dana Carr | Psychologist | 1078 Shattuck Avenue, #6, Berkeley, CA 94709 | 2010-11-05 |
| 1568639565 | Harry Joseph Lieberman | Marriage & Family Therapist | 1933 Rose St, Berkeley, CA 94709 | 2008-05-09 |
| 1780806935 | Martha W Knobler | Marriage & Family Therapist | 2045 Francisco Street, Berkeley, CA 94709 | 2007-05-03 |
| 1578690830 | Alice H Brown | Counselor | 1607 Walnut Street # One, Berkeley, CA 94709 | 2007-02-27 |
| Find all providers in zip 94709 | ||||
| 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 |
| 1497257349 | Devon D'avanzo | Marriage & Family Therapist | 1810 Hopkins St, Berkeley, CA 94707-2717 | 2018-03-07 |
| 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.