Jessica Dawn Carlisi, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

129463 Issued in CA

Practice address

406 Van Buren Ave Apt 204
Oakland, CA 94610-4946

Phone

(516) 423-6484

NPI assigned

Jan 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1992457899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 VAN BUREN AVE APT 204",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104946",
            "telephone_number": "516-423-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 VAN BUREN AVE APT 204",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104946",
            "telephone_number": "516-423-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISI",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Carle, OTR/L
• Aldrich Carles, PA
• Andres Manuel Carlin
• Frankee Carlin, LMFT
• Barbara Trimble Carlino, MFT
• Lorelle Eileen Carlley, M.D.
• Carl Carlson
• Emily Carlson, LMFT
• Lael Irene Carlson
• Stephen Haynes Carlson, PSYD

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.