Healthcare Provider Details

I. General information

NPI: 1285581660
Provider Name (Legal Business Name): MEGAN SCHUSSMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2903 SACRAMENTO ST
BERKELEY CA
94702-2509
US

IV. Provider business mailing address

PO BOX 2127
ORINDA CA
94563-6527
US

V. Phone/Fax

Practice location:
  • Phone: 415-715-9583
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162089
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: