Basic Information
Provider Information
NPI: 1093361917
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHIFF
FirstName: RACHEL
MiddleName: GITA
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2300 EUNICE ST
Address2:  
City: BERKELEY
State: CA
PostalCode: 947081619
CountryCode: US
TelephoneNumber: 6306674146
FaxNumber:  
Practice Location
Address1: 1727 MARTIN LUTHER KING JR WAY STE 109
Address2:  
City: OAKLAND
State: CA
PostalCode: 946121358
CountryCode: US
TelephoneNumber: 5108939230
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/15/2019
LastUpdateDate: 08/15/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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