MEDICARE: RYAN JAMES BERARDI

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	157073	CA

General Provider Information

NPI Number	:	1316780398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN JAMES BERARDI

Provider Business Mailing Address
First Line	:	23 ALTARINDA RD STE 201
Second Line	:
City	:	ORINDA
State	:	CA
Zip	:	94563-2608
Country	:	US
Telephone Number	:	925-421-1677
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 ALTARINDA RD STE 201
Second Line	:
City	:	ORINDA
State	:	CA
Zip	:	94563-2608
Country	:	US
Telephone Number	:	925-421-1677
Fax Number	:

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

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	08/25/2025

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Directions to “ RYAN JAMES BERARDI ” Practice Location

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