Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE PEREZ
NPI 1477000149
Marriage & Family Therapist in San Leandro, CA

Q: What is Nicole Perez's NPI number?

The NPI number for Nicole Perez is 1477000149. It was assigned to this individual provider in the NPPES registry on September 9, 2016.

Q: What is Nicole Perez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Perez was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since September 09, 2016

777 DAVIS ST STE 300, SAN LEANDRO, CA 94577(510) 839-3800(510) 839-3888 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2026, Sep 23, 2016 (2 updates tracked since 2016).

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About Nicole Perez NPPES

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

NICOLE PEREZ (NPI 1477000149) is an individual marriage & family therapist in San Leandro, California, licensed in California (113620) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1477000149

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameNICOLE PEREZ

Location Address777 DAVIS ST STE 300San Leandro, CA 94577-6923

Mailing Address777 Davis St Ste 300San Leandro, CA 94577-6923 · (510) 586-2838 · Fax (510) 839-3888

Phone(510) 839-3800

Fax(510) 839-3888

Sole ProprietorNo

Enumeration DateSeptember 9, 2016

Last NPPES UpdateNovember 3, 20262 updates tracked since enumeration

NPPES CertifiedNovember 3, 2026

✔ NPI 1477000149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 113620

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 95253 (CA)

777 DAVIS ST STE 300, San Leandro, CA 94577

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Other Providers at the Same Location NPPES 20

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

VONNIQUE MITCHELL

Day Training/Habilitation Specialist