DR. SAMUEL HIMELSTEIN (NPI# 1265749790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265749790 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL HIMELSTEIN |
| Credential | PH.D. |
| Practice Address |
4400 Keller Ave Ste 200 Oakland CA 94605-4229 |
| Practice Telephone | 5102958977 |
| Mailing Telephone | 5104705777 |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2019-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY25229 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY25229 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY25229 | CA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PSY25229 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4400 KELLER AVE STE 200 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94605-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497983480 | Elizabeth Sautter | Speech-Language Pathologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2009-06-29 |
| 1487261350 | Mia K. D. Wardell | Speech-Language Pathologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2020-09-25 |
| 1902415920 | Brennah Rozelle Cooney | Speech-Language Pathologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2020-07-27 |
| 1265059604 | Laura Borquez | Speech-Language Pathologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2020-07-01 |
| 1720625320 | Erica Michele Teicheira | Specialist/Technologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2019-12-03 |
| 1588217665 | Masika Nia Henry | Speech-Language Pathologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2019-07-18 |
| 1346892007 | Samantha Renee Fisher | Speech-Language Pathologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2019-07-12 |
| 1699327692 | Family First Psychotherapy, Inc. | Psychologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2019-07-10 |
| 1407418189 | Colin Matthew Mcinnis | Specialist/Technologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2019-07-03 |
| 1326527581 | Center for Adolescent Studies, Inc. | Psychologist | 4400 Keller Ave Ste 200, Oakland, CA 94605-4229 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181190 | Sarah Primack | Counselor | Castlemont High School, 8601 Macarthur Blvd, Oakland, CA 94605 | 2019-09-04 |
| 1285296475 | Veronica Aguila | Behavior Technician | 2949 Parker Ave, Oakland, CA 94605 | 2019-07-08 |
| 1508321886 | Terra Brown Brown | Counselor | One Eastmont Mall Town Center, 7200 Bancroft Avenue Building B. Suite 133, Oakland, CA 94605 | 2019-01-31 |
| 1619447455 | Elizabeth Niarhos | Counselor | 10850 Macarthur Blvd., Oakland, CA 94605 | 2018-12-04 |
| 1467930966 | Claudia Sanchez | Student in an Organized Health Care Education/Training Program | 7200 Bancroft Avenue, Suite 125d, Oakland, CA 94605 | 2018-08-06 |
| 1447768866 | The Alliance for Community Wellness | Community/Behavioral Health | 2369 84th Ave., Oakland, CA 94605 | 2018-01-19 |
| 1497204010 | Nekeisha Maxie | Specialist | 7200 Bancroft Ave. Bldg. B Suite 133, Oakland, CA 94605 | 2016-09-23 |
| 1073997110 | Sandra Lenoski | Social Worker | 7200 Bancroft Avenue, Building B, Suite 133, Oakland, CA 94605 | 2015-07-18 |
| 1366831414 | Wing Kit Leung | Physical Therapy Assistant | 2445 64th Ave, Oakland, CA 94605 | 2015-01-13 |
| 1558647735 | Jessica Welsh | Counselor | 8759 Mountain Blvd. Bldg. 69, Oakland, CA 94605 | 2011-11-01 |
| Find all providers in zip 94605 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| 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 |
| Find all providers in OAKLAND | ||||
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| 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.