Individual ProviderMerry RossMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5767 Broadway Ste 101, Oakland, CA 94618-1589(510) 420-1979PECOS EnrollmentBased on the most recent information from CMS, provider Merry Ross does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1659806792Provider TypeIndividualFull NameRoss, MerryGenderFemaleSole ProprietorYesEnumeration Date4/26/2017Last Updated4/26/2017Contact InformationPractice LocationPractice Address5767 Broadway Ste 101, Oakland, CA 94618-1589Phone(510) 420-1979FaxUnlisted FaxMailing LocationMailing Address5767 Broadway Ste 101, Oakland, CA 94618-1589Phone(510) 420-1979FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense37401California