Yevgeniya Hubbard, MFT

Key facts

NPI

1750458337

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

Practice address

2709 Alcatraz Avenue
Berkley, CA 94705-2705

Phone

(510) 299-1759

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Opted out of Medicare

Yes, effective Apr 11, 2024 through Apr 11, 2028

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other names

• Mrs. Yevgeniya Marvar Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 18, 2020.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1750458337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 ALCATRAZ AVENUE",
            "city": "BERKLEY",
            "state": "CA",
            "postal_code": "947052705",
            "telephone_number": "510-299-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 ALCATRAZ AVENUE",
            "city": "BERKLEY",
            "state": "CA",
            "postal_code": "947052705",
            "telephone_number": "510-299-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "YEVGENIYA",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEVGENIYA",
            "last_name": "MARVAR",
            "prefix": "MRS.",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Berkley, CA · Marriage & Family Therapist in California