Active NPI
Brigitte Merrell, MFT
- Marriage & Family Therapist
- Richmond, CA
National Provider Identifier
1619265014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT36520
- Practice address
- 150 Harbour Way Ste 200
Richmond, CA 94801-3554 - Phone
- (510) 508-6643
- NPI assigned
- Jul 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT36520 | CA | Primary |
Addresses
Primary practice location
150 Harbour Way Ste 200
Richmond, CA 94801-3554
Mailing address
2577 San Pablo Ave Ste 200
Oakland, CA 94612-1159
Phone (510) 508-6643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240108000787 | CA | Order and Referring Only - Marriage and Family Therapist | 1153738737 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT36520 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1619265014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2577 SAN PABLO AVE STE 200",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121159",
"telephone_number": "510-508-6643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 HARBOUR WAY STE 200",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948013554",
"telephone_number": "510-508-6643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRELL",
"first_name": "BRIGITTE",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2021-02-23",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT36520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.