GRADY MICHAEL FORT L.M.F.T.
NPI 1588099568
Marriage & Family Therapist in Berkeley, CA

Q: What is Grady Fort's NPI number?

The NPI number for Grady Fort is 1588099568. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Q: What is Grady Fort'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 Grady Fort was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 09, 2013

2955 SHATTUCK AVE STE 9, BERKELEY, CA 94705(510) 500-5231 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Grady Michael Fort L.m.f.t. NPPES

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

GRADY MICHAEL FORT L.M.F.T. (NPI 1588099568) is an individual marriage & family therapist in Berkeley, California, licensed in California (90047) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1588099568

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameGRADY MICHAEL FORTCredential: L.M.F.T.

Location Address2955 SHATTUCK AVE STE 9Berkeley, CA 94705-1808

Mailing Address2955 Shattuck Ave Ste 9Berkeley, CA 94705-1808 · (510) 500-5231

Phone(510) 500-5231

Sole ProprietorYes

Enumeration DateSeptember 9, 2013

Last NPPES UpdateJune 6, 2016

✔ NPI 1588099568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 90047

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.

2955 SHATTUCK AVE STE 9, Berkeley, CA 94705

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Other Providers at the Same Location NPPES 2

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

EVELINE WU MARRIAGE AND FAMILY THERAPIST INC

Clinic/Center (Mental Health (Including Community Mental Health Center))

2955 SHATTUCK AVE STE 9
BERKELEY, CA 94705

Alameda County (510) 479-0806

EVELINE WU MFT

Marriage & Family Therapist

2955 SHATTUCK AVE STE 9
BERKELEY, CA 94705

Alameda County (510) 780-6960

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 Grady Fort's NPI number?

The NPI number for Grady Fort is 1588099568. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Where is Grady Fort located?

Grady Fort practices at 2955 Shattuck Ave Ste 9, Berkeley, CA 94705. The listed phone number is (510) 500-5231.

What is Grady Fort'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 Grady Fort was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.