Michael Clark Marriage and Family Therapy, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MICHAEL CLARK MARRIAGE AND FAMILY THERAPY, INC

Practice address

1918 Bonita Ave Ste 208
Berkeley, CA 94704-1014

Phone

(510) 556-5800

NPI assigned

Feb 11, 2025

Organization subpart

No

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

Authorized official

Name

Michael Erwin Clark Jr., LMFTNPI 1003339730

Title

Ceo

Phone

(510) 556-5800

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Erwin Clark Jr.

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1003339730
  NPD Authorized official

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1144035635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HARLAN ST APT 101",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 BONITA AVE STE 208",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041014",
            "telephone_number": "510-556-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CLARK MARRIAGE AND FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ERWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-556-5800",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald L. Meyers, M.D.
• Sharon Meyers, LCSW, MSW, MPH
• Daniel Christopher Meza
• Mark Mezak
• Guy Micco, M.D.
• Michael G Kiyomoto OD
• Michael Nian Peng Shi, L.Ac., PH.D.
• Nathan Michael, M.A.
• Bronwyn Gay Michaelis, LAC
• Thomas Christoph Michahelles, LMFT

• Adult Mental Health Clinic/Center in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.