Active NPI
Matthew R Garrett, BCBA, AMFT
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1619356557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 131012
- Practice address
- 3021 Telegraph Ave Ste C
Berkeley, CA 94705-2072 - Phone
- (510) 974-1987
- NPI assigned
- May 26, 2015
- Last updated
- Jun 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-24644 | CA | |
| Marriage & Family Therapist | 106H00000X | 131012 | CA | Primary |
Addresses
Primary practice location
3021 Telegraph Ave Ste C
Berkeley, CA 94705-2072
Mailing address
3021 Telegraph Ave Ste C
Berkeley, CA 94705-2072
Phone (925) 989-5796
Other names 1
- Matt R Garrett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131012 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Harmony Individual and Family Therapy | Marriage & Family Therapist | Current | Accepting new patients |
| Brighter Beginnings | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Berkeley, CA
- NPI 1427734573
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1629275839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1619356557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 TELEGRAPH AVE STE C",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052072",
"telephone_number": "925-989-5796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 TELEGRAPH AVE STE C",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052072",
"telephone_number": "510-974-1987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "MATTHEW",
"middle_name": "R",
"credential": "BCBA, AMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2023-06-15",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-16-24644",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "131012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATT",
"last_name": "GARRETT",
"middle_name": "R",
"credential": "BCBA, AMFT",
"code": "5",
"type": "Other Name"
}
]
}
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- Brittney Jerrilena Monique Garrett
- Christina Garza, M.D.
- Kelly Kawaoka Garza
- Suzanne Marie Gassner, PH.D.
- Gastroenterology Associates of the East Bay Medical Group, Inc.
- Stephanie Anne Gabrielle Gay Moss, M.A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.