Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Id Marriage & Family Therapy PC

Organization Marriage & Family Therapist · NPI 1962378257

Id Marriage & Family Therapy PC is a Marriage & Family Therapist in Oakland, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1941 Jackson St Ste 20
Oakland, CA 94612-4600
Phone: (213) 534-7324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1962378257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Inertia Dewitt — Clinical Director · (213) 534-7324
NPI enumeratedOctober 14, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address1432 3rd Ave Apt 2, Oakland, CA 94606-2266

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