Bradley Eryn Dolin

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

128342 Issued in CA

Practice address

2660 Solace PL Ste D2
Mountain View, CA 94040-4337

Phone

(415) 851-5730

NPI assigned

Apr 30, 2020

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 9, 2025 through Oct 9, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Young Men's Christian Association of San Francisco

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1366512493
  NPD (past)

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1831710821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 6340",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "415-307-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SOLACE PL STE D2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404337",
            "telephone_number": "415-851-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLIN",
        "first_name": "BRADLEY",
        "middle_name": "ERYN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Dobrin
• Docready, Inc.
• Doctor Azad, Medical Corporation (El Camino Women's Medical Group)
• Jacob Dodd, MD
• Rebecca Jeanne Dolan, AU.D.
• Bart Lewis Dolmatch, M.D.
• Dominick a. Curatola, MD, Inc.
• Shannon Dee Donegan, PA-C
• Tracy Donegan, MIDWIFE
• Dong Shen DDS Inc (Smile By Design)

• Marriage & Family Therapist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.

Verify at the official NPI Registry.