PSYCHOSOCIAL THERAPY
NPI 1134872971
Marriage & Family Therapist in Berkeley, CA

Active since February 01, 2022
1918 BONITA AVE STE 200, BERKELEY, CA 94704(510) 288-6336 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Psychosocial Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PSYCHOSOCIAL THERAPY (NPI 1134872971) is a healthcare organization registered as a marriage & family therapist in Berkeley, California and active in the NPI registry since February 2022. The organization maintains a secondary practice location in Richmond and lists Luis Alfredo Cornejo, President, as its authorized official.

NPPES Registry Identity

NPI1134872971
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NamePSYCHOSOCIAL THERAPY LICENSED MARRIAGE AND FAMILY THERAPISTS INC.
Location Address1918 BONITA AVE STE 200Berkeley, CA 94704-1014
Mailing Address1918 Bonita Ave Ste 200Berkeley, CA 94704-1014 · (510) 288-6336
Organization SubpartNo
Authorized OfficialLuis Alfredo CornejoPresident · (510) 288-6336
Enumeration DateFebruary 1, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1134872971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1918 BONITA AVE STE 200, Berkeley, CA 94704

Other Names 1

Doing Business AsPsychosocial Therapy

Secondary Practice Location 1

Location 1430 Golden Gate Ave Apt 104Richmond, CA 94801-3885 · Phone (510) 288-6336

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Pediatrics
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Marriage & Family Therapist
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Psychiatry & Neurology (Psychiatry)
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Psychiatry & Neurology (Psychiatry)
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Social Worker (Clinical)
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Psychoanalyst
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Psychologist (Clinical)
1918 BONITA AVE STE 200
BERKELEY, CA 94704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Psychosocial Therapy Licensed Marriage And Family Therapists Inc.'s NPI number?

The NPI number for Psychosocial Therapy Licensed Marriage And Family Therapists Inc. is 1134872971. It was assigned to this organization in the NPPES registry on February 1, 2022. The provider is doing business as Psychosocial Therapy.

Where is Psychosocial Therapy Licensed Marriage And Family Therapists Inc. located?

Psychosocial Therapy Licensed Marriage And Family Therapists Inc. is located at 1918 Bonita Ave Ste 200, Berkeley, CA 94704. The listed phone number is (510) 288-6336.

What is Psychosocial Therapy Licensed Marriage And Family Therapists Inc.'s specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Psychosocial Therapy Licensed Marriage And Family Therapists Inc. was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.