Active NPI
Julie Tenenberg, MA IN PSYCHOLOGY MFT
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1124320387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 33149
- Practice address
- 4289 Piedmont Ave
Suite 205
Oakland, CA 94611-4757 - Phone
- (510) 654-7017
- NPI assigned
- Nov 21, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 33149 | CA | |
| Marriage & Family Therapist | 106H00000X | 33149 | CA | Primary |
Addresses
Primary practice location
4289 Piedmont Ave
Suite 205
Oakland, CA 94611-4757
Mailing address
4289 Piedmont Ave
Suite 205
Oakland, CA 94611-4757
Phone (510) 654-7017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 16, 2024 through Apr 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33149 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290297600000",
"number": "1124320387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4289 PIEDMONT AVE",
"address_2": "SUITE 205",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114757",
"telephone_number": "510-654-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4289 PIEDMONT AVE",
"address_2": "SUITE 205",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114757",
"telephone_number": "510-654-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENENBERG",
"first_name": "JULIE",
"credential": "MA IN PSYCHOLOGY MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-21",
"last_updated": "2010-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "33149",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "33149",
"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 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.