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LAUREN BACALL PETTIS
NPI 1891940888
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since November 18, 2008
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704(510) 981-5290(510) 981-5265 Get Directions Write a Review

NPPES record last updated: November 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lauren Bacall Pettis NPPES

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

LAUREN BACALL PETTIS (NPI 1891940888) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1891940888
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAUREN BACALL PETTIS
Location Address2640 MARTIN LUTHER KING JR WAYBerkeley, CA 94704-3238
Mailing Address2640 Martin Luther King Jr WayBerkeley, CA 94704-3238 · (510) 981-5290 · Fax (510) 981-5265
Phone(510) 981-5290
Fax(510) 981-5265
Sole ProprietorNo
Enumeration DateNovember 18, 2008
✔ NPI 1891940888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2640 MARTIN LUTHER KING JR WAY, Berkeley, CA 94704
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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.

MARGARET SUSAN HIGGINS RN
Registered Nurse (Psychiatric/Mental Health)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JULIE ANN OQUERIZA MARIANO
Registered Nurse (Psychiatric/Mental Health, Adult)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JAMES RUBIN GLENN
Social Worker
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
LELAND S JOHNSON MFT
Marriage & Family Therapist
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
BRYAN THUNSTEDT RN
Registered Nurse
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MR. MICHAEL HILTON MARCHANT LCSW
Social Worker (Clinical)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MISS AMANDA HARTMAN
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
KATHARINE VIDT
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290

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 Lauren Pettis's NPI number?

The NPI number for Lauren Pettis is 1891940888. It was assigned to this individual provider in the NPPES registry on November 18, 2008.

Where is Lauren Pettis located?

Lauren Pettis practices at 2640 Martin Luther King Jr Way, Berkeley, CA 94704. The listed phone number is (510) 981-5290.

What is Lauren Pettis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lauren Pettis was last updated on November 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.