DR. JACQUELINE A JOSEPHSON


Address: 1624 Franklin St Ste 401, Oakland, CA 94612
Phone: 5109095527

DR. JACQUELINE A JOSEPHSON (NPI# 1013060631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013060631
Entity Type Individual
Full Name DR. JACQUELINE A JOSEPHSON
Credential PSY.D
Practice Address 1624 Franklin St Ste 401
Oakland
CA 94612
Mailing Address Po Box 5297
Berkeley
CA 94705-0297
Practice Telephone 5109095527
Mailing Telephone 5109095527
Enumeration Date 2007-01-18
Last Update Date 2019-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY 24070 CA Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
PSY 24070 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
11 Reata Pl, Oakland, CA 946181937 5109095527
1420 Willow Pass Rd, #200, Concord, CA 945205823 5106465480

Office Location

Street Address 1624 FRANKLIN ST STE 401
City OAKLAND
State CA
Zip Code 94612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417462011 Bridge Psychological Services, Inc. Psychologist 1624 Franklin St Ste 401, Oakland, CA 94612-2822 2017-12-06

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NPI Name Taxonomy Address Enumeration
1437766284 Olivia Vega Behavior Technician 155 Grand Ave Suite 500, Oakland, CA 94612 2020-09-25
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1417446444 Ruth L Richards Psychiatry & Neurology 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 2018-05-04
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932727906 Carolina Bacchi Psychotherapy and Psychoanalysis, LLC Psychologist 5665 College Ave Ste 340c, Oakland, CA 94618-1658 2020-07-07
1558990770 Laurie Jean Patraitis Psychologist 419 30th St Ste 3, Oakland, CA 94609-3374 2020-04-08
1194354001 Lyndsay Dell Psychologist 4420 Penniman Ave Apt C, Oakland, CA 94619-2659 2020-04-02
1619513223 Lesley A Parke Psychologist 445 Bellevue Ave Ste 302, Oakland, CA 94610-4923 2019-11-19
1700437233 Laurette Schiff Gennis Psychologist 5655 College Ave Ste 315b, Oakland, CA 94618-1669 2019-09-25
1477112522 Paul A Jackson Psychologist 459 W Macarthur Blvd, Oakland, CA 94609-2808 2019-06-12
1184287435 Unfold Psychology: A. Heafey Practice Psychologist 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 2019-04-22
1689173759 Bay Psychology Group Inc Psychologist 5297 College Ave Ste 103, Oakland, CA 94618-1462 2018-02-05
1861925034 Sarah Carroll Psychologist 5757 Morse Dr, Oakland, CA 94605-1137 2017-04-05
1679026991 Jessica Bol Psychologist 5327 College Ave Ste 1, Oakland, CA 94618-1416 2016-08-03
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Competitor

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City OAKLAND
Zip Code 94612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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