Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689868432 Individual Practitioner Female Practitioner

Dr. Michelle Jurkiewicz , PsyD, MFT

Psychologist • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Jurkiewicz, PsyD, MFT is a registered healthcare professional specializing in Psychologist in Berkeley, CA. Practice services are available at 2397 SHATTUCK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2397 Shattuck Ave
Suite 206

Berkeley, CA 947041567

Telephone 5103347023
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.3 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
122 Specialists

Practicing in Berkeley, CA (7695 Statewide)

Telehealth Adoption Rate
6.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CA 29048

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

State License CA 44237

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Shannon Hagan

Psychologist - Clinical

NPI 1306219456
Jennifer Birch , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1548439003

Psychiatric-Mental Health Nurse Practitioner

Dr. Robyn Matlon , MED, MA, PsyD

Psychologist - Clinical

NPI 1780901280

Master of Education, Master of Arts, Doctor of Psychology (Psy.D.)

Dr. Sumana Kaipa , PsyD

Psychologist - Clinical

NPI 1962605832

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
NPI Profile Active March 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2017

Registered at 2397 SHATTUCK AVE, SUITE 206, BERKELEY, CA 947041567 (Tel: 5103347023)

📍
Updated Business Mailing Address March 22, 2017

Registered at 2397 SHATTUCK AVE, SUITE 206, BERKELEY, CA 947041567 (Tel: 5103347023)

👤
Provider Name / Credentials Updated March 22, 2017

Recorded as MICHELLE JURKIEWICZ, PSYD, MFT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2017

Marriage & Family Therapist (License #44237 in CA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2017

Psychologist (License #29048 in CA)

NPI Profile Active November 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2014

Registered at 3120 TELEGRAPH AVE, SUITE 11, BERKELEY, CA 947051900 (Tel: 5103347023)

📍
Updated Business Mailing Address November 07, 2014

Registered at 3120 TELEGRAPH AVE, SUITE 11, BERKELEY, CA 947051900 (Tel: 5103347023)

👤
Provider Name / Credentials Updated November 07, 2014

Recorded as MICHELLE JURKIEWICZ, MFT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2014

Psychologist

🟢
Initial NPI Registration & Enumeration September 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689868432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2007
Last Update: March 22, 2017
Sole Proprietor: Yes

Mailing Address

2397 Shattuck Ave, Suite 206

Berkeley, CA 947041567

Phone: 5103347023

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.