Megan Rose Kirshbaum, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 20565 Issued in CA

Practice address

3075 Adeline St
Suite 120
Berkeley, CA 94703-2576

Phone

(510) 848-1112

Fax

(510) 848-4445

NPI assigned

Jul 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Through the Looking Glass

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1528267028
  NPD (past) Authorized official

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1417147075",
    "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": "KIRSHBAUM",
        "first_name": "MEGAN",
        "middle_name": "ROSE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 20565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "01CR",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurelin Kirby, M.S., CCC-SLP
• Leslie Kirby, LMFT
• Gina Michelle Kirkish, BS
• Janice Kirsch, M.D., M.P.H.
• Joshua Kirsch, L.C.S.W.
• Adam Scott Kiser, PHARMD
• David Walter Kittams, M.D.
• Kiwi Pediatrics Medical Group, Inc.
• Michael G Kiyomoto, OD
• Karen Ann Klatt

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, 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 Jul 28, 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.