Individual provider Active NPI

Dina A Tomasetti

  • Counselor
  • Berkeley, CA
National Provider Identifier
1396931655
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
IMF93021 Issued in CA
Practice address
3075 Adeline St
Suite 120
Berkeley, CA 94703-2576
Phone
(510) 848-1112
Fax
(510) 848-4445
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMF93021 CA Primary

Addresses

Primary practice location

3075 Adeline St
Suite 120
Berkeley, CA 94703-2576

Mailing address

3075 Adeline St
Suite 120
Berkeley, CA 94703-2576
Phone (510) 848-1112

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

State licenses

LicenseStateTypeSpecialty
IMF93021CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Looking Glass PastSince Feb 4, 2012 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1396931655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ADELINE ST",
            "address_2": "SUITE 120",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032576",
            "telephone_number": "510-848-1112",
            "fax_number": "510-848-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 ADELINE ST",
            "address_2": "SUITE 120",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032576",
            "telephone_number": "510-848-1112",
            "fax_number": "510-848-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASETTI",
        "first_name": "DINA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "IMF93021",
            "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 21, 2016; 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.