Mae Bragen, MA MFT
Individual provider Active NPI Marriage & Family Therapist · Pleasant Hill, CA
NPI 1003911090 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003911090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT5946 (CA)
- Practice address
- 3490 Buskirk Ave
Ste a
Pleasant Hill, CA 94523 - Phone
- (925) 458-1438
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT5946 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
Interoperability endpoints
- maebragen@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT5946 | CA | Yes |
Addresses
Primary practice location
3490 Buskirk Ave
Ste a
Pleasant Hill, CA 94523
Mailing address
555 Azores Circle
Bay Point, CA 94565
Phone (925) 458-1438
Other names
- Miss Mat Altman
Other providers in Pleasant Hill, CA
- Brian Bourke
- William Joseph Bove
- Robert Owen Boyd
- Jacqueline C Bradley
- Kelly Woods Bradley
- Peter Brandes II
- Stephanie Brannon
- Latoya Renee' Braxton
- Denise Marie Britt
- Jennifer Suzanne Brookman
All providers in Pleasant Hill, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.