Healthcare Provider Details

I. General information

NPI: 1063585545
Provider Name (Legal Business Name): CHERYL A FELDMAN M.F.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3873 PIEDMONT AVE STE 16
OAKLAND CA
94611-5371
US

IV. Provider business mailing address

195 41ST ST UNIT 11020
OAKLAND CA
94611-7000
US

V. Phone/Fax

Practice location:
  • Phone: 510-560-3567
  • Fax:
Mailing address:
  • Phone: 510-560-3567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC43294
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: