Individual provider Active NPI

Josanna Christine Maccracken, MFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1689127193
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
107253 Issued in CA
Practice address
2428 Dwight Way Ste 11
Berkeley, CA 94704-2399
Phone
(510) 967-1123
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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 107253 CA Primary

Addresses

Primary practice location

2428 Dwight Way Ste 11
Berkeley, CA 94704-2399

Mailing address

2428 Dwight Way Ste 11
Berkeley, CA 94704-2399
Phone (510) 967-1123

Other practice location 1

3317 Florida St Apt B
Oakland, CA 94602-3850
Phone (510) 922-0722

Other practice location 2

24301 Southland Dr Ste 300
Hayward, CA 94545
Phone (510) 300-3575

Other practice location 3

20212 Redwood Rd Ste 104
Castro Valley, CA 94546-4375
Phone (510) 967-1123

Other practice location 4

16160 Ashland Ave
San Lorenzo, CA 94580-1116
Phone (510) 967-1123

Other names 1

  • Josie Schimke Former name

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

LicenseStateTypeSpecialty
107253CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1689127193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 DWIGHT WAY STE 11",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042399",
            "telephone_number": "510-967-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 DWIGHT WAY STE 11",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042399",
            "telephone_number": "510-967-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3317 Florida St Apt B",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946023850",
            "country_code": "US",
            "telephone_number": "510-922-0722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24301 Southland Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "94545",
            "country_code": "US",
            "telephone_number": "510-300-3575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20212 Redwood Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945464375",
            "country_code": "US",
            "telephone_number": "510-967-1123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16160 Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "San Lorenzo",
            "state": "CA",
            "postal_code": "945801116",
            "country_code": "US",
            "telephone_number": "510-967-1123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACCRACKEN",
        "first_name": "JOSANNA",
        "middle_name": "CHRISTINE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "107253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSIE",
            "last_name": "SCHIMKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.