Look up the most recent NPI and PECOS records

Porter Thompson Llc

Marriage & Family Therapist

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Porter Thompson Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1891268074
Provider Type
Organization
Full Name
Porter Thompson Llc

Subpart
No
Enumeration Date
1/10/2019
Last Updated
1/10/2019

Contact Information

Practice Location

6201 Florio St, Oakland, CA 94618-1333

(415) 286-5156

Unlisted Fax

Mailing Location

6076 Claremont Ave, Oakland, CA 94618-1223

(415) 286-5156

Unlisted Fax

Authorized Official

Thompson, Ariadne (Cfo)

(415) 286-5156

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 225700000X	Description Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer

Porter Thompson Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Ray, Danielle Elizabeth

Stansfield, Millie

Raeside, Frances Taylor Slack

Masotti, Renee

Cohen, Barbara

Hobson, Lisa

Trost, Lisa Marie

Bandera-Hess, Melanie

Mace, Phyllis Anne

Rechtin, Andrea Compton