Center for Modern Therapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CENTER FOR MODERN THERAPY LLC

Practice address

1600 S Main St Ste 180
Walnut Creek, CA 94596-8809

Phone

(925) 765-9036

NPI assigned

Mar 6, 2020

Organization subpart

No

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

Authorized official

Name

Keri Turner, PSYD

Title

Co-Founder

Phone

(925) 765-9036

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1972138287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S MAIN ST STE 180",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968809",
            "telephone_number": "925-765-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S MAIN ST STE 180",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968809",
            "telephone_number": "925-765-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MODERN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "925-765-9036",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.