Rayne Jane Banneck, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

516 Oakland Ave
Oakland, CA 94611-5429

Phone

(510) 838-0249

NPI assigned

Jan 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Madeline J Banneck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 30, 2024 through Aug 30, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Axis Mundi Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakland, CA
  • NPI 1396482444
  NPD Authorized official

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174989230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 OAKLAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115429",
            "telephone_number": "510-838-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 OAKLAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115429",
            "telephone_number": "510-838-0249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3260 Blume Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948065115",
            "country_code": "US",
            "telephone_number": "510-262-6551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2712 Telegraph Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "94705",
            "country_code": "US",
            "telephone_number": "510-548-8283 x112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 Hollis St Ste X",
            "address_purpose": "LOCATION",
            "city": "Emeryville",
            "state": "CA",
            "postal_code": "946082008",
            "country_code": "US",
            "telephone_number": "510-500-5124 x739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNECK",
        "first_name": "RAYNE",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "BANNECK",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kian Banks
• Mariana Xavier Banks, MSW
• Patrisha Banks
• Terrilyn Banks
• Tiffany Michelle Banks
• Edna Banos-Aguilar
• Genavie Banuelos
• Stephanie Banuelos
• Kristina Bao-Paluck, PPS
• Sile Bao

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.