Pujita Jessica Latchman

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

69620 Issued in CA

Practice address

1255 Allston Way
Berkeley, CA 94702-1833

Phone

(510) 845-9010

Fax

(510) 849-1421

NPI assigned

Oct 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Integral Insights Family Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berkeley, CA
  • NPI 1831973445
  NPD Authorized official
• Berkeley Youth Alternatives

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1275724742
  NPD (past)
• Berkeley Youth Alternatives

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1689424731
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1205110475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MYRTLE ST STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072535",
            "telephone_number": "510-839-3800",
            "fax_number": "510-835-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ALLSTON WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021833",
            "telephone_number": "510-845-9010",
            "fax_number": "510-849-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATCHMAN",
        "first_name": "PUJITA",
        "middle_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "69620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Elke Larsen-Teskey
• Karin Elizabeth Larson, RADT 1
• Michael Larson, LMFT
• Beverly Lashley
• Mauricio Lask Knizek, PSY.D.
• Paola Latorre-Rey, B.S.
• Andrew Yau-Tung Lau, DR.OF PHARMACY
• Jan Lau
• Teresa W Lau, D.C.
• Shawna Marie Hartje Lauer, MA, MFT

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, 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 Feb 22, 2013; 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.