Individual provider Active NPI

Erika L Gimbel, M.A., MFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1356535231
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 48004 Issued in CA
Practice address
3045 Deakin St # L
Berkeley, CA 94705-1941
Phone
(415) 820-1559
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 48004 CA Primary

Addresses

Primary practice location

3045 Deakin St # L
Berkeley, CA 94705-1941

Mailing address

3045 Deakin St # L
Berkeley, CA 94705-1941
Phone (415) 820-1559

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 48004CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1356535231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 DEAKIN ST # L",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051941",
            "telephone_number": "415-820-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 DEAKIN ST # L",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051941",
            "telephone_number": "415-820-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBEL",
        "first_name": "ERIKA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 48004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.