NPIMap

Organization Active NPI

Bay Area Marriage and Family Therapy & Coaching, Inc.

  • Marriage & Family Therapist
  • Emeryville, CA
National Provider Identifier
1912433434
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
81850 Issued in CA
Legal business name
BAY AREA MARRIAGE AND FAMILY THERAPY & COACHING, INC.
Practice address
1265 65TH St
Emeryville, CA 94608
Phone
(510) 796-2000
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Ms. Jessica Anne Engle, MA, MFT, RDTNPI 1417635004
Title
Director
Phone
(510) 564-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 81850 CA Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 103949 CA

Addresses

Primary practice location

1265 65TH St
Emeryville, CA 94608

Mailing address

340 S Lemon Avenue
PMB 8764
Walnut, CA 91789
Phone (510) 564-9700

Other names 3

  • Bay Area Dating Coach Doing business as
  • Engle Center Doing business as
  • Social Anxiety Support Center Doing business as

National Provider Directory

National Provider Directory

Locations

340 S Lemon Ave
Walnut, CA 91789
Phone (408) 837-0116

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1912433434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S LEMON AVENUE",
            "address_2": "PMB 8764",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "510-564-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 65TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "94608",
            "telephone_number": "510-796-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA MARRIAGE AND FAMILY THERAPY & COACHING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "ENGLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-564-9700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, MFT, RDT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "81850",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Dating Coach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Engle Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Social Anxiety Support Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.