Individual provider Active NPI

Jessica Brooke Cliff, MFT

  • Marriage & Family Therapist
  • San Ramon, CA
National Provider Identifier
1639346372
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 45576 Issued in CA
Practice address
2500 Old Crow Canyon Rd
Suite 218
San Ramon, CA 94583-1623
Phone
(925) 328-0186
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 45576 CA Primary

Addresses

Primary practice location

2500 Old Crow Canyon Rd
Suite 218
San Ramon, CA 94583-1623

Mailing address

2500 Old Crow Canyon Rd
Suite 218
San Ramon, CA 94583-1623
Phone (925) 328-0186

Other names 1

  • Ms. Jessica Brooke Sartain Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
141007CAMDMarriage & Family Therapist
MFC 45576CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1639346372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 OLD CROW CANYON RD",
            "address_2": "SUITE 218",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831623",
            "telephone_number": "925-328-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 OLD CROW CANYON RD",
            "address_2": "SUITE 218",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831623",
            "telephone_number": "925-328-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFF",
        "first_name": "JESSICA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SARTAIN",
            "middle_name": "BROOKE",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.