Prism Psychotherapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRISM PSYCHOTHERAPY LLC

Practice address

250 Whitmore St Apt 308
Oakland, CA 94611-4631

Phone

(415) 312-1912

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Kalani Perreira, LMFT, 103605NPI 1366750192

Title

Owner

Phone

(415) 312-1912

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kalani Perreira, LMFT

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1366750192
  NPD Authorized official

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1881419422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WHITMORE ST APT 308",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114631",
            "telephone_number": "415-312-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WHITMORE ST APT 308",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114631",
            "telephone_number": "415-312-1912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3738 Mt Diablo Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CA",
            "postal_code": "945493657",
            "country_code": "US",
            "telephone_number": "415-312-1912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRISM PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "PERREIRA",
        "authorized_official_first_name": "KALANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-312-1912",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT, 103605"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Oakland, CA
• Providers in Oakland, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.