Maya McGinnis Carlson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

145653 Issued in CA

Practice address

2315 Prince St
Berkeley, CA 94705-1915

Phone

(802) 777-3623

NPI assigned

Jan 13, 2025

Last updated

Jan 13, 2025By the provider in NPPES

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1306656194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 JORDAN AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945301656",
            "telephone_number": "802-777-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 PRINCE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051915",
            "telephone_number": "802-777-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MAYA",
        "middle_name": "MCGINNIS",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia G Carlone, DOULA
• Jeronimo Carlos
• Megan Carlos, PH.D.
• Grace Ann Carlson, MD
• Linda Carlson, PH.D.
• Maria Carnevale
• Kristen Carney, R.D.
• Caro Grosvenor
• Emily Caro-Bruce, MD
• Carolyn B Klebanoff MD Julie a Omelveny MD a Professional Corp.

• 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 Jan 13, 2025; 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.