Organization Active NPI

Self Harmony Individual and Family Therapy

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1427734573
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SELF HARMONY INDIVIDUAL AND FAMILY THERAPY
Practice address
3021 Telegraph Ave Ste C3
Berkeley, CA 94705-2072
Phone
(510) 974-1987
Fax
(925) 665-0430
NPI assigned
Jun 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Matt R Garrett, LMFT, BCBA
Title
President
Phone
(510) 974-1987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3021 Telegraph Ave Ste C3
Berkeley, CA 94705-2072

Mailing address

3021 Telegraph Ave Ste C3
Berkeley, CA 94705-2072
Phone (510) 974-1987

National Provider Directory

National Provider Directory

Locations

3021 Telegraph Ave
Ste C3
Berkeley, CA 94705
Phone (510) 974-1987

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1427734573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 TELEGRAPH AVE STE C3",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052072",
            "telephone_number": "510-974-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 TELEGRAPH AVE STE C3",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052072",
            "telephone_number": "510-974-1987",
            "fax_number": "925-665-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF HARMONY INDIVIDUAL AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-974-1987",
        "authorized_official_credential": "LMFT, BCBA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 Jun 23, 2023; 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.