Eveline Wu Marriage and Family Therapist Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EVELINE WU MARRIAGE AND FAMILY THERAPIST INC

Practice address

2955 Shattuck Ave Ste 9
Berkeley, CA 94705-1808

Phone

(510) 479-0806

NPI assigned

Apr 23, 2021

Organization subpart

No

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

Authorized official

Name

Eveline Wu, MFTNPI 1306098215

Title

President

Phone

(510) 780-6960

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eveline Wu, MFT

  • Marriage & Family Therapist
  • Berkeley, CA
  • NPI 1306098215
  NPD Authorized official

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1043892565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 SHATTUCK AVE STE 9",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051808",
            "telephone_number": "510-479-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 SHATTUCK AVE STE 9",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051808",
            "telephone_number": "510-479-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELINE WU MARRIAGE AND FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "EVELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-780-6960",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayathri Sai Evani
• Juliana Evans-Anfom, DPT
• Tracy M. Evans-Ramsey, M.D.
• William Todd Evans
• Eve Fine Licensed Clinical Social Worker, PC
• Evergreen Counseling a Marriage and Family Therapy Corporation
• Evorehab Physical Therapy Inc
• Chelsea Eyre
• Stephanie Theresa Eyre
• Daniel J Ezekiel, L.C.S.W.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.