Active NPI
Myrna Arevalo Salas, LMFT 89467
- Marriage & Family Therapist
- Castro Valley, CA
National Provider Identifier
1023324951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 89467
- Practice address
- 1700 Norbridge Ave Ste E
Castro Valley, CA 94546-5700 - Phone
- (510) 982-6803
- NPI assigned
- Aug 30, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 89467 | CA | |
| Professional Counselor | 101YP2500X | |||
| Marriage & Family Therapist | 106H00000X | 89467 | CA | Primary |
Addresses
Primary practice location
1700 Norbridge Ave Ste E
Castro Valley, CA 94546-5700
Mailing address
1700 Norbridge Ave Ste E
Castro Valley, CA 94546-5700
Other practice location 1
207 37th St
Richmond, CA 94805-2105
Phone (510) 233-7555 ext. 44
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 |
|---|---|---|---|
| 89467 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1023324951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NORBRIDGE AVE STE E",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NORBRIDGE AVE STE E",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465700",
"telephone_number": "510-982-6803"
}
],
"practiceLocations": [
{
"address_1": "207 37th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948052105",
"country_code": "US",
"telephone_number": "510-233-7555 x44",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AREVALO SALAS",
"first_name": "MYRNA",
"credential": "LMFT 89467",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "89467",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "89467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.