Active NPI
Still Waters Psychotherapy Inc.
- Clinical Psychologist
- Emeryville, CA
National Provider Identifier
1083552038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- STILL WATERS PSYCHOTHERAPY INC.
- Practice address
- 1394 Park Avenue
Emeryville, CA 94608 - Phone
- (510) 334-7023
- NPI assigned
- Mar 23, 2026
- Last updated
- Mar 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle Jurkiewicz, PSYD
- Title
- Owner
- Phone
- (510) 334-7023
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1394 Park Avenue
Emeryville, CA 94608
Mailing address
1394 Park Avenue
Emeryville, CA 94608
Phone (510) 334-7023
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychologist
- Berkeley, CA
- NPI 1689868432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1083552038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1394 PARK AVENUE",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "94608",
"telephone_number": "510-334-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1394 PARK AVENUE",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "94608",
"telephone_number": "510-334-7023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STILL WATERS PSYCHOTHERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"status": "A",
"authorized_official_last_name": "JURKIEWICZ",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-334-7023",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emeryville, CA
- Yolanda D Standifer
- Stanford Health Care (Stanford Health Care Emeryville 5800)
- Stanford Health Care (Stanford Health Care Emeryville 6121)
- Stephen Stauffer
- Jill Alison Stevens, L.AC., DILP.O.M.
- Warren J Strudwick Jr., M.D.
- Bradley Hall Stuart, M.D.
- Natalie Studley, P.A.
- Brigette Adair Stump-Vernon
- Peter Su
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.