Healthcare Provider Details

I. General information

NPI: 1154205623
Provider Name (Legal Business Name): ROI MARRIAGE AND FAMILY THERAPY CENTER-PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 STEWART DR STE 115
SUNNYVALE CA
94085-4513
US

IV. Provider business mailing address

830 STEWART DR STE 115
SUNNYVALE CA
94085-4513
US

V. Phone/Fax

Practice location:
  • Phone: 669-256-1112
  • Fax:
Mailing address:
  • Phone: 669-256-1112
  • 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: DR. JING Z BAER
Title or Position: EXECUTIVE OFFICER
Credential: LMFT
Phone: 669-256-1112