Provider Demographics
NPI:1699794156
Name:NIRENSTEIN, JAMES E (PHD MFT)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:NIRENSTEIN
Suffix:
Gender:M
Credentials:PHD MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 QUAIL CT STE 200
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-8729
Mailing Address - Country:US
Mailing Address - Phone:925-934-6943
Mailing Address - Fax:925-838-8586
Practice Address - Street 1:45 QUAIL CT STE 200
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-8729
Practice Address - Country:US
Practice Address - Phone:925-934-6943
Practice Address - Fax:925-838-8586
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAM12843106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist