MEDICARE: ADAR KAMHOLTZ-ROBERTS

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	101200000X	Drama Therapist		CA
2	101YM0800X	Mental Health Counselor	APCC21160	CA
3	106H00000X	Marriage & Family Therapist	AMFT159584	CA

General Provider Information

NPI Number	:	1578427688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAR KAMHOLTZ-ROBERTS

Provider Business Mailing Address
First Line	:	2118 WARD ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94705-1016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5529 MARSHALL ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94608-2613
Country	:	US
Telephone Number	:	847-708-0539
Fax Number	:

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

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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Directions to “ ADAR KAMHOLTZ-ROBERTS ” Practice Location

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