Marcia Caine Edelen, CADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1931 Center St
Berkeley, CA 94704-1105

Phone

(510) 666-9552

Fax

(510) 666-0987

NPI assigned

Jun 15, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285839746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 8TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102308",
            "telephone_number": "510-843-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 CENTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041105",
            "telephone_number": "510-666-9552",
            "fax_number": "510-666-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELEN",
        "first_name": "MARCIA",
        "middle_name": "CAINE",
        "name_prefix": "Ms.",
        "credential": "CADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AC BHCS CLINICIAN #",
            "identifier": "61366",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy E. Ebbert, M.D.
• McKinley Ebert
• Ann B Ebiner, FNP
• Daniel Craig Eckhard, DMD
• Stacey Eddie Allen
• Ella Rose Edelstein
• Michelle Dawn Edgar, L.M.
• Valerie Edmond, P.T.A.
• Susan E Edmondson
• Lynda J. Edner

• Addiction (Substance Use Disorder) Counselor in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• 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.