JENNIFER NICOLE CALDWELL (NPI# 1821566704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821566704 |
| Entity Type | Individual |
| Full Name | JENNIFER NICOLE CALDWELL |
| Credential | ASSOCIATE MFT |
| Practice Address |
1835 Allston Way Berkeley CA 94703-1764 |
| Mailing Address |
2624 73rd Ave Apt A Oakland CA 94605-2844 |
| Practice Telephone | 5106130330 |
| Mailing Telephone | 5105601821 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT106444 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780017863 | Jennifer Caldwell | Counselor | 1014 Autumn Road, Suite 4, Little Rock, AR 72211-3768 | 2013-08-13 |
| 1093087520 | Jennifer Caldwell | Counselor | 65 Court Street, Brooklyn, NY 11201 | 2012-01-30 |
| 1538295456 | Jennifer Tamarra Caldwell | Counselor | 22750 Arlington Dr, San Leandro, CA 94578 | 2007-02-26 |
| 1912974007 | Jennifer Caldwell | Military Health Care Provider | 7641 Mercury Rd, Tinker Afb, OK 73145-8707 | 2006-03-07 |
| 1861922742 | Jennifer Caldwell | Nurse Practitioner | 10 E 102nd St, New York, NY 10029 | 2017-06-14 |
| 1033574959 | Jennifer Caldwell | Occupational Therapist | 59 Roxbury Rd, Stamford, CT 06902-1283 | 2015-12-18 |
| 1215378658 | Jennifer Anne Caldwell | Pediatrics | 4500 13th Street, Gulfport, MS 39501 | 2013-07-15 |
| 1710323845 | Jennifer Caldwell | Psychologist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2013-05-15 |
| 1831534023 | Jennifer Caldwell | Emergency Medicine | 100 High St, Buffalo, NY 14203-1126 | 2013-05-02 |
| 1700141074 | Jennifer Caldwell | Nurse Practitioner | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2012-07-11 |
| Street Address |
1835 ALLSTON WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598092462 | Justin Paul Phillips | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2009-11-12 |
| 1841890571 | Jose Rolando Ayala | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2020-10-30 |
| 1265030621 | Matthew Thomas Brady | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2020-10-16 |
| 1306451364 | Keith Tribble | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2020-09-15 |
| 1235757782 | Tith Ton | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2020-07-10 |
| 1447870019 | Samuel Arola Strange | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2020-04-23 |
| 1457911968 | Yvonne Annette Tate | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2019-06-17 |
| 1316506991 | Michelle Joe | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2019-06-07 |
| 1396209292 | Teena R Wright | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2019-01-24 |
| 1487125142 | Amin Miraftab | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2018-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
| 1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
| 1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
| Find all providers in zip 94703 | ||||
| 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.