Active NPI
Peter W. Gutterman, MFT
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1083743785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC41382
- Practice address
- 4283 Piedmont Ave
#E6
Oakland, CA 94611-4758 - Phone
- (510) 496-3460
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC41382 | CA | Primary |
Addresses
Primary practice location
4283 Piedmont Ave
#E6
Oakland, CA 94611-4758
Mailing address
2435 Colusa St
Pinole, CA 94564-1501
Phone (510) 851-2789
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 |
|---|---|---|---|
| MFC41382 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479945600000",
"number": "1083743785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 COLUSA ST",
"city": "PINOLE",
"state": "CA",
"postal_code": "945641501",
"telephone_number": "510-851-2789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4283 PIEDMONT AVE",
"address_2": "#E6",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114758",
"telephone_number": "510-496-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTERMAN",
"first_name": "PETER",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2016-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC41382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.