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

NICOLE FAY PTAK
NPI 1629880588
Marriage & Family Therapist in Antioch, CA

Active since January 27, 2025
3720 SUNSET LN STE D, ANTIOCH, CA 94509(925) 978-0208 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nicole Fay Ptak NPPES

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

NICOLE FAY PTAK (NPI 1629880588) is an individual marriage & family therapist in Antioch, California, licensed in California (166024) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1629880588
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE FAY PTAK
Location Address3720 SUNSET LN STE DAntioch, CA 94509-6124
Mailing Address3512 Tabora DrAntioch, CA 94509-5438 · (408) 702-0083
Phone(925) 978-0208
Sole ProprietorNo
Enumeration DateJanuary 27, 2025
Last NPPES UpdateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1629880588 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 · 166024
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.
3720 SUNSET LN STE D, Antioch, CA 94509
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Other Providers at the Same Location NPPES 4

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

ELLEN BAINER
Student in an Organized Health Care Education/Training Program
3720 SUNSET LN STE D
ANTIOCH, CA 94509
Contra Costa County (415) 456-7724
GRACE PABLINA FENTON
Student in an Organized Health Care Education/Training Program
3720 SUNSET LN STE D
ANTIOCH, CA 94509
Contra Costa County (925) 978-0208
MELODIE TSAI
Marriage & Family Therapist
3720 SUNSET LN STE D
ANTIOCH, CA 94509
Contra Costa County (415) 562-6355
THE CHILD THERAPY INSTITUTE OF MARIN
Community/Behavioral Health
3720 SUNSET LN STE D
ANTIOCH, CA 94509
Contra Costa County (415) 456-7724

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 Nicole Ptak's NPI number?

The NPI number for Nicole Ptak is 1629880588. It was assigned to this individual provider in the NPPES registry on January 27, 2025.

Where is Nicole Ptak located?

Nicole Ptak practices at 3720 Sunset Ln Ste D, Antioch, CA 94509. The listed phone number is (925) 978-0208.

What is Nicole Ptak'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 Nicole Ptak was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.