Individual provider Active NPI

Marilyn Elizabeth Saulsbury, LMFT

  • Mental Health Counselor
  • Berkeley, CA
National Provider Identifier
1184770182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC37810 Issued in CA
Practice address
1715 Solano Ave
Suite a
Berkeley, CA 94707-2220
Phone
(510) 703-6348
Fax
(510) 848-6274
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC37810 CA Primary

Addresses

Primary practice location

1715 Solano Ave
Suite a
Berkeley, CA 94707-2220

Mailing address

2956 Shasta Rd
Berkeley, CA 94708-2142
Phone (510) 848-6274

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

State licenses

LicenseStateTypeSpecialty
MFC37810CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184770182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 SHASTA RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947082142",
            "telephone_number": "510-848-6274",
            "fax_number": "510-848-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SOLANO AVE",
            "address_2": "SUITE A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072220",
            "telephone_number": "510-703-6348",
            "fax_number": "510-848-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULSBURY",
        "first_name": "MARILYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC37810",
            "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 Jul 8, 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.