Active NPI
Carly Reifman, LMFT, ATR
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1093273666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 120122
- Practice address
- 1028 Cragmont Ave
Berkeley, CA 94708-1412 - Phone
- (818) 533-1619
- NPI assigned
- Mar 3, 2019
- Sex
- Female
- 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 | 120122 | CA | Primary |
Addresses
Primary practice location
1028 Cragmont Ave
Berkeley, CA 94708-1412
Mailing address
135 E Olive Ave # 223
Burbank, CA 91502-1820
Phone (818) 533-1619
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 |
|---|---|---|---|
| 120122 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1093273666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 E OLIVE AVE # 223",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021820",
"telephone_number": "818-533-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 CRAGMONT AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947081412",
"telephone_number": "818-533-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIFMAN",
"first_name": "CARLY",
"credential": "LMFT, ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-03",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "120122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.