Active NPI
Israel E Perla, MA, MFT
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1780982736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT 43965
- Practice address
- 1600 Shattuck Ave
Berkeley, CA 94709-1634 - Phone
- (510) 217-6939
- NPI assigned
- Feb 28, 2011
- Sex
- Male
- 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 | MFT 43965 | CA | Primary |
Addresses
Primary practice location
1600 Shattuck Ave
Berkeley, CA 94709-1634
Mailing address
PO Box 1014
Oregon House, CA 95962-1014
Phone (530) 692-2342
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT 43965 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1780982736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1014",
"city": "OREGON HOUSE",
"state": "CA",
"postal_code": "959621014",
"telephone_number": "530-692-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SHATTUCK AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091634",
"telephone_number": "510-217-6939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLA",
"first_name": "ISRAEL",
"middle_name": "E",
"credential": "MA, MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-28",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT 43965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.