SAGE INSTITUTE FOR PSYCHEDELIC THERAPY


Address: 3007 Telegraph Ave, Oakland, CA 94609-3205
Phone: 4156891580

SAGE INSTITUTE FOR PSYCHEDELIC THERAPY (NPI# 1679126221) 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) 1679126221
Entity Type Organization
Organization Name SAGE INSTITUTE FOR PSYCHEDELIC THERAPY
Practice Address 3007 Telegraph Ave
Oakland
CA 94609-3205
Mailing Address 430 40th St
Oakland
CA 94609-2691
Practice Telephone 4156891580
Mailing Telephone 4156891580
Enumeration Date 2019-07-23
Last Update Date 2019-07-23
Authorized Official Name DR. JASON BUTLER (TRAINING DIRECTOR)
Authorized Official Telephone 4156891580
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 3007 TELEGRAPH AVE
City OAKLAND
State CA
Zip Code 94609-3205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932327939 Sharon Nelson Social Worker 3007 Telegraph Ave, Oakland, CA 94609-3205 2007-04-23
1063902096 Irina Alexander Marriage & Family Therapist 3007 Telegraph Ave, Oakland, CA 94609-3205 2018-05-15
1073769402 The West Oakland Health Council Public Health or Welfare 3007 Telegraph Ave, Oakland, CA 94609-3205 2008-08-18
1750546255 La Keshia C Coleman Counselor 3007 Telegraph Ave, Oakland, CA 94609-3205 2008-07-23
1467636795 Deborah James Registered Nurse 3007 Telegraph Ave, Oakland, CA 94609-3205 2007-12-21
1083816326 Edward Jackson Counselor 3007 Telegraph Ave, Oakland, CA 94609-3205 2007-05-31
1154522159 Ola Fuller Bennett Social Worker 3007 Telegraph Ave, Oakland, CA 94609-3205 2007-05-29
1932310513 Willie Mae Owens Counselor 3007 Telegraph Ave, Oakland, CA 94609-3205 2007-05-24
1043421621 Brenda Watson Counselor 3007 Telegraph Ave, Oakland, CA 94609-3205 2007-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104457159 Gerard John-charles Coughlin Student in an Organized Health Care Education/Training Program Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 2020-01-29
1417502022 Michael Knittel Registered Nurse 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1962057562 Nicole Kjolby Registered Nurse Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1396208286 Graham Vallis Student in an Organized Health Care Education/Training Program Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 2019-04-09
1386129526 Gary Mitchell Snider Counselor 390 40th Street, Oakland, CA 94609 2018-10-02
1720568389 Lice Control Inc. Technician 6557 Shattuck Ave, Oakland, CA 94609 2018-08-14
1528559150 Jenna Marie Kincaid Behavior Technician 400 29th St., 204, Oakland, CA 94609 2018-05-18
1336656669 Nicholas Dicarlo Social Worker 465 34th St Ste 6, Oakland, CA 94609 2018-01-09
1174045744 Theodora J Marzouk Home Health Aide 3317 Elm Street, Suite 202, Oakland, CA 94609 2017-07-14
1740728922 Elena Gardella Marriage & Family Therapist 411 30th Street, Suite 412, Oakland, CA 94609 2017-02-07
Find all providers in zip 94609

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326661430 Gina M Arias Psychologist 3287 Madera Ave, Oakland, CA 94619-3412 2020-05-22
1871127464 Karena Berghold Passaro Psychologist 5665 College Ave Ste 230d, Oakland, CA 94618-1639 2020-02-24
1053883025 Lindsey Brooke Hopkins Psychologist 287 17th St Ste A, Oakland, CA 94612-4191 2018-12-31
1164903563 Mindhealth, A Professional Psychology Corporation Psychologist 585 Mandana Blvd Ste 1, Oakland, CA 94610-2265 2018-08-23
1306338892 Mark Fromm Psychologist 3296 Jordan Rd, Oakland, CA 94602-3535 2018-05-31
1205363199 Holly Lynn Buckman Psychologist 1440 Broadway Ste 314, Oakland, CA 94612-2023 2017-05-22
1871942904 Terri Marie Rech Psychologist 5835 College Ave Ste C, Oakland, CA 94618-1653 2016-06-09
1760867329 William Barone Psychologist 360 Monte Vista Ave Apt 309, Oakland, CA 94611-4559 2015-07-24
1568853067 Jason Carpenter Psychologist 715 62nd St, Oakland, CA 94609-1213 2015-02-05
1235535568 Monique Thompson Psychologist 5297 College Ave # 206, Oakland, CA 94618-1462 2014-11-13
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94609

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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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