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

Psychosocial Therapy Licensed Marriage and Family Therapists Inc

Organization Marriage & Family Therapist · NPI 1134872971

Psychosocial Therapy Licensed Marriage and Family Therapists Inc is a Marriage & Family Therapist in Berkeley, California. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1918 Bonita Ave Ste 200
Berkeley, CA 94704-1014
Phone: (510) 288-6336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 430 Golden Gate Ave Apt 104, Richmond, CA 94801-3885 — (510) 288-6336

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1134872971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Cornejo — President · (510) 288-6336
Other names Psychosocial Therapy
NPI enumeratedFebruary 1, 2022
Last updated in NPPESFebruary 1, 2022
Certification dateFebruary 1, 2022
Mailing address1918 Bonita Ave Ste 200, Berkeley, CA 94704-1014

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