Active NPI
Nicole Laby, MFT
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1134506801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC43780
- Legal business name
- NICOLE LABY, MFT
- Practice address
- 2140 Shattuck Ave Ste 603
Berkeley, CA 94704-1227 - Phone
- (415) 820-3952
- NPI assigned
- May 1, 2015
- 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
- Mrs. Nicole Kat Laby, M.S.
- Title
- MFT
- Phone
- (415) 820-3952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC43780 | CA | Primary |
Addresses
Primary practice location
2140 Shattuck Ave Ste 603
Berkeley, CA 94704-1227
Mailing address
2140 Shattuck Ave Ste 603
Berkeley, CA 94704-1227
Phone (415) 820-3952
National Provider Directory
National Provider DirectoryLocations
2140 Shattuck Ave
Ste 603
Berkeley, CA 94704
Phone (415) 820-3952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430438400000",
"number": "1134506801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 SHATTUCK AVE STE 603",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041227",
"telephone_number": "415-820-3952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 SHATTUCK AVE STE 603",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041227",
"telephone_number": "415-820-3952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE LABY, MFT",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-01",
"last_updated": "2015-05-01",
"status": "A",
"authorized_official_last_name": "LABY",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "KAT",
"authorized_official_title_or_position": "MFT",
"authorized_official_telephone_number": "415-820-3952",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC43780",
"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 May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.