Active NPI
Dymetria Sellers
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1003489568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125443
- Practice address
- 2855 Telegraph Ave Ste 205
Berkeley, CA 94705-1128 - Phone
- (888) 963-9639
- NPI assigned
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 125443 | CA | Primary |
Addresses
Primary practice location
2855 Telegraph Ave Ste 205
Berkeley, CA 94705-1128
Mailing address
2855 Telegraph Ave Ste 205
Berkeley, CA 94705-1128
Phone (888) 963-9639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
41 E Foothill Blvd
Suite 102
Arcadia, CA 91006-2361
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125443 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1003489568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 TELEGRAPH AVE STE 205",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051128",
"telephone_number": "888-963-9639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 TELEGRAPH AVE STE 205",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051128",
"telephone_number": "888-963-9639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "DYMETRIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-22",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "125443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.