Elke Ruth Ullmer, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

50588 Issued in CA

Practice address

1620 Bonita Ave
Berkeley, CA 94709-2022

Phone

(415) 845-7657

NPI assigned

Jul 3, 2007

Last updated

Feb 23, 2016By the provider in NPPES

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

Other identifiers 1

Other names 1

• Ms. Elke Ruth Ullmer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1609074517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 MARKET ST STE 207",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941037414",
            "telephone_number": "415-845-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BONITA AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947092022",
            "telephone_number": "415-845-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLMER",
        "first_name": "ELKE",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL. DRIVERS LIC.",
            "identifier": "D5985980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELKE",
            "last_name": "ULLMER",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "credential": "LMFT, BFA, MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• 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 Feb 23, 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.