Jon Sarlin, LMFT
Individual provider Active NPI Marriage & Family Therapist · Kensington, CA
NPI 1083172050 · NPPES record last updated Mar 7, 2019
Key facts
- NPI
- 1083172050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 53795 (CA)
- Practice address
- 87 Ardmore Rd
Kensington, CA 94707-1326 - Phone
- (510) 872-8884
- NPI assigned
- Mar 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 28, 2025 through Apr 28, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53795 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 53795 | CA | Yes |
Addresses
Primary practice location
87 Ardmore Rd
Kensington, CA 94707-1326
Mailing address
PO Box 7012
Berkeley, CA 94707-0012
Phone (510) 872-8884
Other practice location 1
2799 Middlefield Rd Ste A
Palo Alto, CA 94306-2520
Phone (650) 422-2944
Other practice location 2
23 Altarinda Rd Ste 212
Orinda, CA 94563-2609
Phone (323) 863-3286
Other providers in Kensington, CA
- Brittany Alexandra Peterson
- Lauren Rosen Purcell
- Kathryn Marie Rea
- Joan Rubin
- Lee B Safran
- Michelle Scatina
- Francine Segal
- Thomas Siemann
- David Lindsay Smith
- Wendy Stock
All providers in Kensington, 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 Mar 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.