MEDICARE: CARLY REIFMAN LMFT, ATR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	120122	CA

General Provider Information

NPI Number	:	1093273666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLY REIFMAN LMFT, ATR

Provider Business Mailing Address
First Line	:	135 E OLIVE AVE # 223
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-1820
Country	:	US
Telephone Number	:	818-533-1619
Fax Number	:

Provider Business Practice Location Address
First Line	:	1028 CRAGMONT AVE
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94708-1412
Country	:	US
Telephone Number	:	818-533-1619
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2019
Last Update Date	:	12/11/2024

Similar Medicare Providers

1134148802 — MS. ALIYAH STEIN MFT
Practice Location Address:

1014 CRAGMONT AVE
BERKELEY, CA
94708-1412

Practice Phone: 510-848-5167
Practice Fax: 510-558-3235

1649618976 — DR. STANLEY SOLOMON WULF M.D.
Practice Location Address:

1016 CRAGMONT AVE
BERKELEY, CA
94708-1412

Practice Phone: 510-558-8852
Practice Fax: 510-525-5963

1861662959 — MS. COURTNEY LEE RUSH MFT
Practice Location Address:

2300 M L K JR WAY
BERKELEY, CA
94704-1412

Practice Phone: 510-644-7310
Practice Fax:

1760891931 — THE CHILD THERAPY INSTITUTE OF MARIN
Practice Location Address:

2300 MARTIN LUTHER KING JR WAY
BERKELEY, CA
94704-1412

Practice Phone: 510-644-6310
Practice Fax:

1497257349 — DEVON D'AVANZO
Practice Location Address:

2300 MARTIN LUTHER KING JR WAY
BERKELEY, CA
94704-1412

Practice Phone: 415-617-9806
Practice Fax:

1194615963 — TERESA ANN SNELL
Practice Location Address:

258 S GREEN ST
BERKELEY SPRINGS, WV
25411-1412

Practice Phone: 304-702-1160
Practice Fax:

Directions to “ CARLY REIFMAN LMFT, ATR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.