EAST BAY CENTER FOR TEEN AND FAMILY THERAPY
NPI 1730940297
Counselor - Mental Health in Walnut Creek, CA
About East Bay Center For Teen And Family Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST BAY CENTER FOR TEEN AND FAMILY THERAPY (NPI 1730940297) is a healthcare organization registered as a mental health in Walnut Creek, California and active in the NPI registry since January 2024. The organization lists Andrea Nishimi, Co-founder, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 2
Group Practice 1
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.
WALNUT CREEK, CA 94596
WALNUT CREEK, CA 94596
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 Choi Licensed Clinical Social Worker & Nishimi Child Therapist's NPI number?
The NPI number for Choi Licensed Clinical Social Worker & Nishimi Child Therapist is 1730940297. It was assigned to this organization in the NPPES registry on January 22, 2024. The provider is doing business as East Bay Center For Teen And Family Therapy and Illuminated Mind Therapy Center.
Where is Choi Licensed Clinical Social Worker & Nishimi Child Therapist located?
Choi Licensed Clinical Social Worker & Nishimi Child Therapist is located at 1844 San Miguel Dr Ste 306A, Walnut Creek, CA 94596. The listed phone number is (925) 289-8025.
What is Choi Licensed Clinical Social Worker & Nishimi Child Therapist's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Choi Licensed Clinical Social Worker & Nishimi Child Therapist was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# East Bay Center For Teen And Family Therapy · NPI 1730940297
Mental Health organization in Walnut Creek, California. Organization record, active in the CMS NPPES registry since January 22, 2024.
## Identity
- **NPI:** 1730940297 (Entity type: Organization)
- **Enumerated:** January 22, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Legal business name:** Choi Licensed Clinical Social Worker & Nishimi Child Therapist
- **Also known as:** Illuminated Mind Therapy Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Andrea Nishimi, CO-FOUNDER
## Practice location
- **Address:** 1844 SAN MIGUEL DR STE 306A, Walnut Creek, CA 94596-8610
- **Phone:** (925) 289-8025
## Record status
- **NPPES last updated:** May 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730940297) · Data from the CMS NPPES public registry.