Individual provider Active NPI

Eileen J. Drapiza-Dornan, LMFT MFC 51665

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1881869063
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC51665 Issued in CA
Practice address
1905 Berkeley Way
Berkeley, CA 94704-1007
Phone
(510) 859-4362
Fax
(510) 868-5329
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF52373 CA
Marriage & Family Therapist 106H00000X MFC51665 CA Primary

Addresses

Primary practice location

1905 Berkeley Way
Berkeley, CA 94704-1007

Mailing address

2039 Shattuck Ave Ste 305
Berkeley, CA 94704-1150
Phone (510) 859-4362

Other names 1

  • Ms. Eileen J. Drapiza Former name

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

State licenses

LicenseStateTypeSpecialty
IMF52373CAMDMarriage & Family Therapist
MFC51665CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1881869063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 SHATTUCK AVE STE 305",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041150",
            "telephone_number": "510-859-4362",
            "fax_number": "510-868-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BERKELEY WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041007",
            "telephone_number": "510-859-4362",
            "fax_number": "510-868-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPIZA-DORNAN",
        "first_name": "EILEEN",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LMFT MFC 51665",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF52373",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC51665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "DRAPIZA",
            "middle_name": "J.",
            "prefix": "MS.",
            "credential": "MFT INTERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.