GWYNNETH MADELEINE DOMECQ
NPI 1659068096
Marriage & Family Therapist in Oakland, CA

Active since April 18, 2023
3301 E 12TH ST, OAKLAND, CA 94601(510) 269-9030 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 19, 2024, Jan 3, 2024, Nov 15, 2023 (3 updates tracked since 2023).

About Gwynneth Madeleine Domecq NPPES

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

GWYNNETH MADELEINE DOMECQ (NPI 1659068096) is an individual marriage & family therapist in Oakland, California, licensed in California (144158) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1659068096
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameGWYNNETH MADELEINE DOMECQ
Location Address3301 E 12TH STOakland, CA 94601-3424
Mailing Address2556 61st AveOakland, CA 94605-1416
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1659068096 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 · 144158
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.
3301 E 12TH ST, Oakland, CA 94601

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.

Rehabilitation Practitioner
3301 E 12TH ST
OAKLAND, CA 94601
Day Training/Habilitation Specialist
3301 E 12TH ST
OAKLAND, CA 94601
Student in an Organized Health Care Education/Training Program
3301 E 12TH ST
OAKLAND, CA 94601
Psychologist
3301 E 12TH ST
OAKLAND, CA 94601
Student in an Organized Health Care Education/Training Program
3301 E 12TH ST, #259
OAKLAND, CA 94601
Psychologist
3301 E 12TH ST
OAKLAND, CA 94601
Community Health Worker
3301 E 12TH ST
OAKLAND, CA 94601
Day Training/Habilitation Specialist
3301 E 12TH ST
OAKLAND, CA 94601

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 Gwynneth Domecq's NPI number?

The NPI number for Gwynneth Domecq is 1659068096. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Gwynneth Domecq located?

Gwynneth Domecq practices at 3301 E 12th St, Oakland, CA 94601. The listed phone number is (510) 269-9030.

What is Gwynneth Domecq'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 Gwynneth Domecq was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.