Individual provider Active NPI

Sonia Telle, MA

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1164612842
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF46152 Issued in CA
Practice address
560 Oakland Ave
Suite D
Oakland, CA 94611-5471
Phone
(510) 601-1929
Fax
(510) 601-1947
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF46152 CA Primary

Addresses

Primary practice location

560 Oakland Ave
Suite D
Oakland, CA 94611-5471

Mailing address

560 Oakland Ave
Suite D
Oakland, CA 94611-5471
Phone (510) 601-1929

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF46152CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1164612842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 OAKLAND AVE",
            "address_2": "SUITE D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115471",
            "telephone_number": "510-601-1929",
            "fax_number": "510-601-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 OAKLAND AVE",
            "address_2": "SUITE D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115471",
            "telephone_number": "510-601-1929",
            "fax_number": "510-601-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLE",
        "first_name": "SONIA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF46152",
            "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 Jul 27, 2007; 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.