Healthcare Provider Details

I. General information

NPI: 1619895174
Provider Name (Legal Business Name): PASCHEN FAMILY THERAPY PROF. CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2128 ROOSEVELT AVE UNIT A
BERKELEY CA
94703-1522
US

IV. Provider business mailing address

2128 ROOSEVELT AVE UNIT A
BERKELEY CA
94703-1522
US

V. Phone/Fax

Practice location:
  • Phone: 510-423-2568
  • Fax:
Mailing address:
  • Phone: 510-423-2568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GISSELA PASCHEN
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: M.A., LMFT.
Phone: 510-423-2568