Jean Donabedian

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

166 Santa Clara Ave Ste 205
Oakland, CA 94610-1323

Phone

(510) 601-1929

Fax

(510) 601-1947

NPI assigned

Jan 10, 2022

Last updated

Apr 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Earth Circles Counseling Center

  • Mental Health Counselor
  • Oakland, CA
  • NPI 1821137381
  NPD (past)

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1578214722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4093",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945960093",
            "telephone_number": "949-433-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SANTA CLARA AVE STE 205",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101323",
            "telephone_number": "510-601-1929",
            "fax_number": "510-601-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONABEDIAN",
        "first_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-10",
        "last_updated": "2023-04-11",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenia E Dominguez
• Sheila Vattathil Dominic, F.N.P.
• Brian Lee Domitrovich, SUDCC II
• Matt Domnick
• Yuriko Domyo
• Donald R. Townsend, M.D. a Medical Corporation, Inc.
• Taronda Donaldson-Ellison, AMFT
• Rosemary Griffin Donalson, MPH
• Medha A. Donde, MD
• Dee Dra Rena Donegan

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, 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 Apr 11, 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.