Jeremy Berlin

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

5755 Mountain Hawk Dr Ste 201
Santa Rosa, CA 95409-4451

Phone

(707) 222-5874

NPI assigned

Nov 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Intune Family Counseling, Inc.

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1861865875
  NPD

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1407492101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 MOUNTAIN HAWK DR STE 201",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094451",
            "telephone_number": "707-222-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 MOUNTAIN HAWK DR STE 201",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094451",
            "telephone_number": "707-222-5874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2455 Bennett Valley Rd Ste B201",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954045667",
            "country_code": "US",
            "telephone_number": "707-520-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Bergman, M.D.
• Lynn Lokelani Bergman, M.A., M.F.T.
• Habteab Yohannes Berhane
• Jessica Berkana, LMFT
• Laura A. Berke, RN, FNP
• Cynthia Carole Berman, PHD
• Marvin Stephen Berman, DMD
• Claudia Bermudez
• Amador Herrera Bernal
• Rosalinda Bernal

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, 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 Mar 19, 2020; 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.