Silent Hills Family Therapist Corporatiom

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

SILENT HILLS FAMILY THERAPIST CORPORATIOM

Practice address

2955 Shattuck Ave Ste 2955
Berkeley, CA 94705-1808

Phone

(925) 426-4729

NPI assigned

Nov 1, 2023

Last updated

Nov 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Jo Jackson, MED

Title

LMFT

Phone

(925) 426-4729

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Jo Jackson Carlson

  • Mental Health Counselor
  • Berkeley, CA
  • NPI 1548334634
  NPD

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1548033590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5536",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947050536",
            "telephone_number": "925-426-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 SHATTUCK AVE STE 2955",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051808",
            "telephone_number": "925-426-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILENT HILLS FAMILY THERAPIST CORPORATIOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "925-426-4729",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leni H. Siegel, LICENSED MARRIAGE
• Siemens Clinical Laboratory
• Siemens Healthcare Laboratory LLC
• Stephen Eric Sienknecht, PSY.D.
• Allison Sih, M.D.
• Dylan Eliyahu Sills
• Michael Silpa, M.D.
• Antonio J Silva Sayago, M.D.
• Cheryl Elverta Silva
• Gustavo Adolfo Silva, PHARMD

• Counseling Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.