Individual provider Active NPI

Sarah Elizabeth Church Liebman, MFT

  • Marriage & Family Therapist
  • Albany, CA
National Provider Identifier
1083811715
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1035 San Pablo Ave
Suite 5
Albany, CA 94706-2275
Phone
(510) 292-7367
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1035 San Pablo Ave
Suite 5
Albany, CA 94706-2275

Mailing address

1035 San Pablo Ave
Suite 5
Albany, CA 94706-2275
Phone (510) 559-7822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 18, 2024 through May 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1083811715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SAN PABLO AVE",
            "address_2": "SUITE 5",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062275",
            "telephone_number": "510-559-7822",
            "fax_number": "510-295-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SAN PABLO AVE",
            "address_2": "SUITE 5",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062275",
            "telephone_number": "510-292-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBMAN",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH CHURCH",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

Verify at the official NPI Registry.