Patricia Lynn Dallacroce, LMFT, MA, JD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

100479 Issued in CA

Practice address

3120 Telegraph Ave Ste 9
Berkeley, CA 94705-1965

Phone

(925) 979-5772

NPI assigned

Jul 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 10, 2024 through May 10, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Master of Arts

State licenses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1588187751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 PARKSIDE DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973550",
            "telephone_number": "925-324-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 TELEGRAPH AVE STE 9",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051965",
            "telephone_number": "925-979-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLACROCE",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMFT, MA, JD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonardo M Dacanay, M.D.
• Rebekka Tere Dagher, MS CCC-SLP
• Michael Dai
• Anthony Murray Dailley, DDS
• Loring Gregg Dales, M.D.
• Amy Elizabeth Dalli
• Carla Dalton, L. AC.
• Elaine Daly, M.F.T.
• Sabra Daly, PA
• Cody Dam, PA-C

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, 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 Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.