Individual provider Active NPI

Amy Joan Sheriff Abern, MA, MFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1396876009
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC25253 Issued in CA
Practice address
2340 Ward St Ste 204
Berkeley, CA 94705-1147
Phone
(510) 486-0644
NPI assigned
Mar 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC25253 CA Primary

Addresses

Primary practice location

2340 Ward St Ste 204
Berkeley, CA 94705-1147

Mailing address

2234 Ward St
2340 Ward Street, Suite 204
Berkeley, CA 94705-1065
Phone (510) 486-0644

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
MFC25253CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396876009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 WARD ST",
            "address_2": "2340 WARD STREET, SUITE 204",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051065",
            "telephone_number": "510-486-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 WARD ST STE 204",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051147",
            "telephone_number": "510-486-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERN",
        "first_name": "AMY",
        "middle_name": "JOAN SHERIFF",
        "name_prefix": "Ms.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC25253",
            "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 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.