Active NPI
Miriam Palmer
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1902254394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT139196
- Practice address
- 1266 14TH St
Oakland, CA 94607-2205 - Phone
- (408) 207-3138
- NPI assigned
- May 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IMF99876 | CA | |
| Marriage & Family Therapist | 106H00000X | AMFT139196 | CA | Primary |
Addresses
Primary practice location
1266 14TH St
Oakland, CA 94607-2205
Mailing address
2420 Sand Creek Road C-1, #372
Brentwood, CA 94513
Phone (408) 207-3138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT139196 | CA | MD | Marriage & Family Therapist |
| IMF99876 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1902254394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 SAND CREEK ROAD C-1, #372",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "94513",
"telephone_number": "408-207-3138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1266 14TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946072205",
"telephone_number": "408-207-3138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "MIRIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-26",
"last_updated": "2023-05-15",
"certification_date": "2023-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "IMF99876",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT139196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.