Jessica Engle

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

81850 Issued in CA

Legal business name

JESSICA ENGLE

Practice address

1265 65TH St
Emeryville, CA 94608-1110

Phone

(408) 622-1000

NPI assigned

Jun 10, 2015

Organization subpart

No

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

Authorized official

Name

Jessica Anne Engle, MA

Title

Psychotherapist and Coach

Phone

(408) 622-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1376924860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8642",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946620642",
            "telephone_number": "408-622-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 65TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081110",
            "telephone_number": "408-622-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA ENGLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "ENGLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST AND COACH",
        "authorized_official_telephone_number": "408-622-1000",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "81850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Emeryville, CA
• Providers in Emeryville, 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 Jun 10, 2015; 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.