Active NPI
June B Timberlake, LMFT
- Marriage & Family Therapist
- Newark, CA
National Provider Identifier
1437274164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC32781
- Practice address
- 39899 Balentine Dr
Suite 310
Newark, CA 94560-5355 - Phone
- (510) 979-0200
- Fax
- (510) 979-0201
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC32781 | CA | Primary |
Addresses
Primary practice location
39899 Balentine Dr
Suite 310
Newark, CA 94560-5355
Mailing address
39899 Balentine Dr
Suite 310
Newark, CA 94560-5355
Phone (510) 979-0200
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC32781 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437274164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39899 BALENTINE DR",
"address_2": "SUITE 310",
"city": "NEWARK",
"state": "CA",
"postal_code": "945605355",
"telephone_number": "510-979-0200",
"fax_number": "510-979-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39899 BALENTINE DR",
"address_2": "SUITE 310",
"city": "NEWARK",
"state": "CA",
"postal_code": "945605355",
"telephone_number": "510-979-0200",
"fax_number": "510-979-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMBERLAKE",
"first_name": "JUNE",
"middle_name": "B",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC32781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, 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.