Mackenzie Sodestrom Marriage & Family Therapy, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MACKENZIE SODESTROM MARRIAGE & FAMILY THERAPY, INC.

Practice address

370 Grand Ave Ste 4
Oakland, CA 94610-4874

Phone

(510) 210-1191

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mackenzie Sodestrom, LMFTNPI 1356864854

Title

Owner

Phone

(925) 640-0795

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mackenzie Sodestrom, MA

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1356864854
  NPD Authorized official

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1275234494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE STE 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104874",
            "telephone_number": "510-210-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 GRAND AVE STE 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104874",
            "telephone_number": "510-210-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACKENZIE SODESTROM MARRIAGE & FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "SODESTROM",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-640-0795",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Mack
• Erika Mack
• Geraldine Mack
• Jaida Mack
• James Arthur Mack III
• Drew Mackey
• Elischa Mackey, RN
• Dolores D. Mackinnon
• Erica Macklin Macklin
• Christopher Macko

• 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 Mar 14, 2023; 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.