Individual provider Active NPI

Inger Kirschenbaum, PH.D, MFT

  • Marriage & Family Therapist
  • Orinda, CA
National Provider Identifier
1720400138
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 9618 Issued in CA
Practice address
66 Via Floreado
Orinda, CA 94563-1925
Phone
(925) 283-8710
NPI assigned
Jan 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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 9618 CA Primary

Addresses

Primary practice location

66 Via Floreado
Orinda, CA 94563-1925

Mailing address

3527 Mt Diablo Blvd
#182
Lafayette, CA 94549-3815
Phone (925) 283-8710

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC 9618CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1720400138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 MT DIABLO BLVD",
            "address_2": "#182",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493815",
            "telephone_number": "925-283-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 VIA FLOREADO",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945631925",
            "telephone_number": "925-283-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCHENBAUM",
        "first_name": "INGER",
        "name_prefix": "Dr.",
        "credential": "PH.D, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 9618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

Verify at the official NPI Registry.