Vanessa Kaline Beresford

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

170534 Issued in CA

Practice address

335 Quarry Rd
San Carlos, CA 94070-6217

Phone

(650) 591-3636

NPI assigned

Jan 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Vanessa Kaline 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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1679046478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940700172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 QUARRY RD",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706217",
            "telephone_number": "650-591-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERESFORD",
        "first_name": "VANESSA",
        "middle_name": "KALINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "5306",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "170534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "KALINE",
            "credential": "AMFT, APCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Courtney Taylor Becker
• Emily Becraft, M.S., L.C.G.C.
• Alexandra Kay Bekemeier, MS, CGC
• Sonia Bello, MS IN COUNSELING PSY
• Ryan Douglas Benoit, PT
• Jacob Robert Berg
• John Berkes
• Megan Berry Swadell, L.AC., DIPL.O.M.
• Douglas Vincent Berry
• Rajiv Bhatnagar, MD

• Marriage & Family Therapist in San Carlos, CA
• Providers in San Carlos, 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 Jan 4, 2019; 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.