Thomas Christoph Michahelles, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT23074 Issued in CA

Practice address

2901 Shattuck Ave
Suite 'E'
Berkeley, CA 94705-1808

Phone

(510) 649-9663

Fax

(510) 842-1715

NPI assigned

Jan 12, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Bay Area Center for Psychotherapy

  • Marriage & Family Therapist
  • Sebastopol, CA
  • NPI 1033634928
  NPD

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

{
    "created_epoch": "1389484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1598187429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SHATTUCK AVE",
            "address_2": "SUITE 'E'",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051808",
            "telephone_number": "510-649-9663",
            "fax_number": "510-842-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SHATTUCK AVE",
            "address_2": "SUITE 'E'",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051808",
            "telephone_number": "510-649-9663",
            "fax_number": "510-842-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAHELLES",
        "first_name": "THOMAS",
        "middle_name": "CHRISTOPH",
        "name_prefix": "Prof.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-12",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT23074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "94-3098925",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Clark Marriage and Family Therapy, Inc
• Michael G Kiyomoto OD
• Michael Nian Peng Shi, L.Ac., PH.D. (Nian Peng Shi, L.Ac.,Ph.D.)
• Nathan Michael, M.A.
• Bronwyn Gay Michaelis, LAC
• Lauren Michalsen
• Christopher S Michel, M.D.
• Katrina Elizabeth Michel, M.D.
• Michelle Ahn MD SC
• Richard J Michelsen, O.D.

• 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 Sep 20, 2016; 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.