OrganizationActive
Convergent Brain Diagnostics
NPI 1902550445 · Marriage & Family Therapist · El Dorado Hills, CA
Provider details
- NPI number
- 1902550445
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Maryjo Brooks-Motl, Vice President/Clinical Director(916) 836-0036
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4359 Town Center Blvd Ste 217
El Dorado Hills, CA 95762-7113
Phone: (916) 836-0036
Fax: (916) 345-7950
Street-level locationGet directions
Mailing address
4359 Town Center Blvd Ste 217
El Dorado Hills, CA 95762-7113
Other names (DBA / former)
- Doing business as
- Motlmd
Registry dates
- Enumerated
- 2022-02-03
- Last updated
- 2022-02-03
- Certified
- 2022-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.