Healthcare Provider Details

I. General information

NPI: 1417874637
Provider Name (Legal Business Name): ALISON JILL MCCABE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5625 COLLEGE AVE STE 216
OAKLAND CA
94618-1599
US

IV. Provider business mailing address

2524 MCGEE AVE
BERKELEY CA
94703-1864
US

V. Phone/Fax

Practice location:
  • Phone: 510-273-9969
  • Fax:
Mailing address:
  • Phone: 510-229-0757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT30901
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: