Organization Active NPI

Nicole Laby, MFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1134506801
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC43780 Issued in CA
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

Updated by the provider on May 1, 2015

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.