Active NPI
Eugenie Elise Kaiser, LMFT
- Marriage & Family Therapist
- Pittsburg, CA
National Provider Identifier
1013077668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC30403
- Practice address
- 2311 Loveridge Rd
2ND Floor
Pittsburg, CA 94565-5117 - Phone
- (925) 431-2637
- Fax
- (925) 431-2644
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 | MFC30403 | CA | Primary |
Addresses
Primary practice location
2311 Loveridge Rd
2ND Floor
Pittsburg, CA 94565-5117
Mailing address
3020 College Ave
#2
Berkeley, CA 94705-2530
Phone (510) 654-8728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4970 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC30403 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013077668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 COLLEGE AVE",
"address_2": "#2",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052530",
"telephone_number": "510-654-8728",
"fax_number": "510-654-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 LOVERIDGE RD",
"address_2": "2ND FLOOR",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945655117",
"telephone_number": "925-431-2637",
"fax_number": "925-431-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "EUGENIE",
"middle_name": "ELISE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC30403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.