Jamaal E Kizziee, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT127254 Issued in CA

Practice address

1700 Norbridge Ave Ste H
Castro Valley, CA 94546-5700

Phone

(510) 545-6632

NPI assigned

May 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Alameda County Health Care Services Agency

  • Supports Brokerage Agency
  • San Leandro, CA
  • NPI 1366623316
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1225475593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SAN LEANDRO BLVD STE 300",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771675",
            "telephone_number": "510-667-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NORBRIDGE AVE STE H",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465700",
            "telephone_number": "510-545-6632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 San Leandro Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945771675",
            "country_code": "US",
            "telephone_number": "510-667-3176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIZZIEE",
        "first_name": "JAMAAL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT127254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis King-Gallman, LCSW
• David Christian King, PA-C, MPA
• Genevieve Ashcom King, M. D.
• Kiran Khemani, DDS, Inc
• Suzanne Leilani Kirby, OTR
• Jacqueline Rose Klippenes, LMFT
• Donald Richard Knotts, MEDICAL DOCTOR
• Wei-Fang Ko, M.D.
• Kong Du
• Raymond L. Kong, PHARM D.

• Marriage & Family Therapist in Castro Valley, CA
• Providers in Castro Valley, 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 Oct 24, 2022; 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.