| Kristine Phelan, AMFT | |
|
11175 San Pablo Ave, El Cerrito, CA 94530-2157 | |
| (510) 559-3009 | |
| Not Available |
| Full Name | Kristine Phelan |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 11175 San Pablo Ave, El Cerrito, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528723376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | AMFT128314 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Phelan, AMFT Po Box 3959, Napa, CA 94558-0395 Ph: (415) 244-0971 | Kristine Phelan, AMFT 11175 San Pablo Ave, El Cerrito, CA 94530-2157 Ph: (510) 559-3009 |
Mrs. Ruth Marina Ordenana, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11175 San Pablo Ave, El Cerrito, CA 94530 Phone: 510-559-5550 | |
Ellen Sue Friedman, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 139 Ashbury Ave., El Cerrito, CA 94530 Phone: 510-524-6278 | |
Camila Gomez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11175 San Pablo Ave, El Cerrito, CA 94530 Phone: 510-309-4457 | |
Alexander M Hill, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6851 Kenilworth Ave, El Cerrito, CA 94530 Phone: 301-412-5445 | |
Cynthia Liuska, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 501 Kearney St, El Cerrito, CA 94530 Phone: 415-448-7043 | |
Ms. Shonali Shome, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11175 San Pablo Ave, El Cerrito, CA 94530 Phone: 510-559-5550 | |
Ms. Lise Serrie Stern, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 609 Kearney St, El Cerrito, CA 94530 Phone: 510-232-5813 Fax: 510-232-5813 |