Organization Active NPI

Id Marriage & Family Therapy PC

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1962378257
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ID MARRIAGE & FAMILY THERAPY PC
Practice address
1941 Jackson St Ste 20
Oakland, CA 94612-4600
Phone
(213) 534-7324
NPI assigned
Oct 14, 2025
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Inertia Dewitt, LMFTNPI 1528507746
Title
Clinical Director
Phone
(213) 534-7324

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

1941 Jackson St Ste 20
Oakland, CA 94612-4600

Mailing address

1432 3Rd Ave Apt 2
Oakland, CA 94606-2266
Phone (916) 710-1959

National Provider Directory

National Provider Directory

Locations

1941 Jackson St
Ste 20
Oakland, CA 94612
Phone (213) 534-7324

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1962378257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 3RD AVE APT 2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062266",
            "telephone_number": "916-710-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 JACKSON ST STE 20",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946124600",
            "telephone_number": "213-534-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID MARRIAGE & FAMILY THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "INERTIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "213-534-7324",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "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 Oct 14, 2025; 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.