1811384324 NPI number — ANAT BARKAI MARRIAGE AND FAMILY THERAPIST INC

Table of content: MR. LARRY ALBERT RENAUD RPH (NPI 1447568498)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811384324 NPI number — ANAT BARKAI MARRIAGE AND FAMILY THERAPIST INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANAT BARKAI MARRIAGE AND FAMILY THERAPIST INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811384324
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/23/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1927 FALLEN LEAF LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ALTOS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94024-7207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-492-1936
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2500 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNTAIN VIEW
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94040-4106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-492-1936
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2015

Additional Information

Authorized Official

Authorized Official Last Name:
BARKAI
Authorized Official First Name:
ANAT
Authorized Official Middle Name:
Authorized Official Title or Position:
PSYCHOTHERAPIST
Authorized Official Telephone Number:
650-492-1936

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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