EAST BAY FAMILY THERAPY
NPI 1952684763
Psychologist in Walnut Creek, CA

Active since September 28, 2011
1600 S MAIN ST, SUITE 225, WALNUT CREEK, CA 94596(925) 325-5022 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Bay Family Therapy NPPES

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

EAST BAY FAMILY THERAPY (NPI 1952684763) is a healthcare organization registered as a psychologist in Walnut Creek, California and active in the NPI registry since September 2011. The organization lists Marc D. Komori Stager, Owner, as its authorized official.

NPPES Registry Identity

NPI1952684763
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameEAST BAY FAMILY THERAPY
Location Address1600 S MAIN ST, SUITE 225Walnut Creek, CA 94596-5340
Mailing Address1600 S Main St, Suite 225Walnut Creek, CA 94596-5340 · (925) 325-5022
Organization SubpartNo
Authorized OfficialMarc D. Komori StagerOwner · (925) 325-5022
Enumeration DateSeptember 28, 2011
NPI 1952684763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY21734
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1600 S MAIN ST, Walnut Creek, CA 94596

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
1600 S MAIN ST, SUITE 111
WALNUT CREEK, CA 94596
Psychologist (Clinical)
1600 S MAIN ST, 240
WALNUT CREEK, CA 94596
Marriage & Family Therapist
1600 S MAIN ST, #290
WALNUT CREEK, CA 94596
Marriage & Family Therapist
1600 S MAIN ST, SUITE 240
WALNUT CREEK, CA 94596
Psychologist (Clinical)
1600 S MAIN ST, STE 177
WALNUT CREEK, CA 94596
Marriage & Family Therapist
1600 S MAIN ST, SUITE 240
WALNUT CREEK, CA 94596
Counselor (Mental Health)
1600 S MAIN ST, 111
WALNUT CREEK, CA 94596
Psychologist
1600 S MAIN ST, SUITE 225
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 East Bay Family Therapy's NPI number?

The NPI number for East Bay Family Therapy is 1952684763. It was assigned to this organization in the NPPES registry on September 28, 2011.

Where is East Bay Family Therapy located?

East Bay Family Therapy is located at 1600 S Main St Suite 225, Walnut Creek, CA 94596. The listed phone number is (925) 325-5022.

What is East Bay Family Therapy's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for East Bay Family Therapy was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.