Active NPI
Debra Ellen Marcus, MFT
- Marriage & Family Therapist
- Emeryville, CA
National Provider Identifier
1699962605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 34255
- Practice address
- 1240 Powell St
2-C
Emeryville, CA 94608-2600 - Phone
- (510) 428-9660
- Fax
- (510) 428-0661
- NPI assigned
- Oct 3, 2007
- 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 | 34255 | CA | Primary |
Addresses
Primary practice location
1240 Powell St
2-C
Emeryville, CA 94608-2600
Mailing address
1240 Powell St
Suite 2-C
Emeryville, CA 94608-2600
Phone (510) 428-9660
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 |
|---|---|---|---|
| 34255 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1699962605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 POWELL ST",
"address_2": "SUITE 2-C",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946082600",
"telephone_number": "510-428-9660",
"fax_number": "510-428-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 POWELL ST",
"address_2": "2-C",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946082600",
"telephone_number": "510-428-9660",
"fax_number": "510-428-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "DEBRA",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "34255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.