Provider Demographics
NPI:1154205623
Name:ROI MARRIAGE AND FAMILY THERAPY CENTER, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:ROI MARRIAGE AND FAMILY THERAPY CENTER, PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JING
Authorized Official - Middle Name:Z
Authorized Official - Last Name:BAER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:650-220-8717
Mailing Address - Street 1:830 STEWART DR STE 115
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4513
Mailing Address - Country:US
Mailing Address - Phone:669-256-1112
Mailing Address - Fax:
Practice Address - Street 1:830 STEWART DR STE 115
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4513
Practice Address - Country:US
Practice Address - Phone:650-220-8717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty