Active NPI
Katherine Barake
- Marriage & Family Therapist
- Pittsburg, CA
National Provider Identifier
1255831731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT93721
- Practice address
- 300 E Leland Rd Ste 100
Pittsburg, CA 94565-4961 - Phone
- (925) 439-9628
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT93721 | CA | Primary |
Addresses
Primary practice location
300 E Leland Rd Ste 100
Pittsburg, CA 94565-4961
Mailing address
300 E Leland Rd Ste 100
Pittsburg, CA 94565-4961
Phone (925) 439-9628
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT93721 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vistability | Past | Accepting new patients | |
| Lynn Center - Next Steps | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Pittsburg, CA
- NPI 1407190440
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburg, CA
- NPI 1831248392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1255831731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E LELAND RD STE 100",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945654961",
"telephone_number": "925-439-9628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E LELAND RD STE 100",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945654961",
"telephone_number": "925-439-9628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAKE",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT93721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.