MR. MALCOLM ANDREW BEREAN (NPI# 1760782460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760782460 |
| Entity Type | Individual |
| Full Name | MR. MALCOLM ANDREW BEREAN |
| Credential | LMFT |
| Practice Address |
1338 S School St Ste A Lodi CA 95240-5700 |
| Practice Telephone | 2093270588 |
| Practice Fax Number | 2092637065 |
| Mailing Telephone | 2093270588 |
| Mailing Fax Number | 2092637065 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 38325 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 210 N School St, Lodi, CA 952402122 | 2093270588 | 2093678563 |
| 211 E March Ln Ste I, Stockton, CA 952075863 | 2093270588 | 2092637065 |
| Street Address |
1338 S SCHOOL ST STE A |
| City | LODI |
| State | CA |
| Zip Code | 95240-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689974370 | Mary J Molini | Marriage & Family Therapist | 1338 S School St Ste A, Lodi, CA 95240-5700 | 2010-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| 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 |
|---|---|---|---|---|
| 1437639713 | Kristen Elaine Holmes | Marriage & Family Therapist | 13451 N Extension Rd, Lodi, CA 95242-9249 | 2018-08-16 |
| 1720461403 | Edward L Krager | Marriage & Family Therapist | 510 S Fairmont Ave Ste 1, Lodi, CA 95240-3800 | 2015-06-30 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1629418678 | Katelyn Elizabeth Zodikoff | Marriage & Family Therapist | 1120 W Oak St, Lodi, CA 95240-2825 | 2013-07-04 |
| 1245560648 | Gene Evans Napier | Marriage & Family Therapist | 801 S Lower Sacramento Rd, Lodi, CA 95242-3636 | 2010-01-06 |
| 1437300423 | Lise Helen Bachman-karnes | Marriage & Family Therapist | 330 S Fairmont Ave Ste 7, Lodi, CA 95240-3843 | 2008-10-08 |
| 1376794479 | Sheila Layah Mulvihill | Marriage & Family Therapist | 5 1/2 W Pine St, Suite 8, Lodi, CA 95240-2158 | 2008-10-07 |
| 1790900819 | Becky Jane Dalporto | Marriage & Family Therapist | 12755 North Hwy 88, Lodi, CA 95240 | 2007-04-16 |
| 1336267996 | Tammy Andra Souza | Marriage & Family Therapist | 404 W. Pine Street, Suite 1, Lodi, CA 95240 | 2007-03-26 |
| 1780741546 | Michelle Ellen Besse | Marriage & Family Therapist | 220 S Church St # E, Lodi, CA 95240 | 2007-01-02 |
| Find all providers in LODI | ||||
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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.