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CONVERGENT BRAIN DIAGNOSTICS
NPI 1902550445
Marriage & Family Therapist in El Dorado Hills, CA

Active since February 03, 2022
4359 TOWN CENTER BLVD STE 217, EL DORADO HILLS, CA 95762(916) 836-0036(916) 345-7950 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Convergent Brain Diagnostics NPPES

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

CONVERGENT BRAIN DIAGNOSTICS (NPI 1902550445), doing business as Motlmd, is a healthcare organization registered as a marriage & family therapist in El Dorado Hills, California and active in the NPI registry since February 2022. The organization lists Maryjo Brooks-motl, Vice President/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1902550445
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameCONVERGENT BRAIN DIAGNOSTICS
Location Address4359 TOWN CENTER BLVD STE 217El Dorado Hills, CA 95762-7113
Mailing Address4359 Town Center Blvd Ste 217El Dorado Hills, CA 95762-7113 · (916) 836-0036 · Fax (916) 345-7950
Phone(916) 836-0036
Fax(916) 345-7950
Organization SubpartNo
Authorized OfficialMaryjo Brooks-motlVice President/clinical Director · (916) 836-0036
Enumeration DateFebruary 3, 2022
NPPES CertifiedFebruary 3, 2022
✔ NPI 1902550445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
4359 TOWN CENTER BLVD STE 217, El Dorado Hills, CA 95762
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Other Names 1

Doing Business AsMotlmd

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Convergent Brain Diagnostics's NPI number?

The NPI number for Convergent Brain Diagnostics is 1902550445. It was assigned to this organization in the NPPES registry on February 3, 2022. The provider is doing business as MotlMD.

Where is Convergent Brain Diagnostics located?

Convergent Brain Diagnostics is located at 4359 Town Center Blvd Ste 217, El Dorado Hills, CA 95762. The listed phone number is (916) 836-0036.

What is Convergent Brain Diagnostics'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 Convergent Brain Diagnostics was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.