Organization Active NPI

Elizabeth Dandenell Marriage and Family Therapist Inc

  • Marriage & Family Therapist
  • Alameda, CA
National Provider Identifier
1497346134
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ELIZABETH DANDENELL MARRIAGE AND FAMILY THERAPIST INC
Practice address
2223 Santa Clara Ave Ste B5
Alameda, CA 94501-4469
Phone
(510) 748-0637
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Elizabeth Dandenell, LMFTNPI 1336374487
Title
Owner
Phone
(415) 310-6684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2223 Santa Clara Ave Ste B5
Alameda, CA 94501-4469

Mailing address

425 Camden Rd
Alameda, CA 94501-6136
Phone (510) 508-8228

Other names 1

  • East Bay Center for Anxiety Relief Doing business as

National Provider Directory

National Provider Directory

Locations

2223 Santa Clara Ave
Ste B5
Alameda, CA 94501
Phone (510) 748-0637

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": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1497346134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CAMDEN RD",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016136",
            "telephone_number": "510-508-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 SANTA CLARA AVE STE B5",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014469",
            "telephone_number": "510-748-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH DANDENELL MARRIAGE AND FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "DANDENELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-310-6684",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Center for Anxiety Relief",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.