Bay Area Center for Psychotherapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BAY AREA CENTER FOR PSYCHOTHERAPY

Practice address

105 Morris St Ste 180
Sebastopol, CA 95472-3835

Phone

(707) 861-0658

NPI assigned

Aug 11, 2017

Last updated

Nov 21, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jordan Pelot, LMFTNPI 1306127246

Title

Administrator/Provider

Phone

(707) 861-0658

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jordan Gabriel Pelot, M.A., LMFT

  • Marriage & Family Therapist
  • Berkeley, CA
  • NPI 1306127246
  Medicare reassignment NPD Authorized official
• Thomas Christoph Michahelles, LMFT

  • Marriage & Family Therapist
  • Berkeley, CA
  • NPI 1598187429
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1033634928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MORRIS ST STE 180",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723835",
            "telephone_number": "707-861-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MORRIS ST STE 180",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723835",
            "telephone_number": "707-861-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA CENTER FOR PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "PELOT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "ADMINISTRATOR/PROVIDER",
        "authorized_official_telephone_number": "707-861-0658",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Alan Bartholomew
• Marcy Jane Basel, L.AC.
• Michelle Rose Bashaw, MFT
• Vija A Bauer-Lindbergs, MD
• Frank R Bavuso, MD
• Sydney Annette Bebb-Walker, L.AC.
• David Charles Beck, M.D.
• Dana Becker
• Hope Anita Becklund, MD
• Chris Bekins, R.D.

• Marriage & Family Therapist in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.