DR. DOUGLAS VAKOCH (NPI# 1689233355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689233355 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS VAKOCH |
| Credential | PH.D. |
| Practice Address |
2041 Bancroft Way Ste 202 Berkeley CA 94704-1443 |
| Mailing Address |
943 Cherry Way Hayward CA 94541-1836 |
| Practice Telephone | 5106120097 |
| Practice Fax Number | 5107688111 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2020-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 20394 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
20394 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20394 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1918 Bonita Ave, Berkeley, CA 947041014 | 5106120097 | |
| 2940 Summit St, Oakland, CA 946093416 | 5106120097 | |
| 3867 Howe St, Oakland, CA 946115343 | 5106120097 | |
| 815 Hyde St, San Francisco, CA 941095996 | 5106120097 |
| Street Address |
2041 BANCROFT WAY STE 202 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295048221 | Joshua David Westhoelter | Marriage & Family Therapist | 2041 Bancroft Way Ste 202, Berkeley, CA 94704-1443 | 2010-07-19 |
| 1770123325 | Meti International | Voluntary or Charitable | 2041 Bancroft Way Ste 202, Berkeley, CA 94704-1443 | 2020-01-12 |
| 1366001034 | Green Psychotherapy, PC | Psychologist | 2041 Bancroft Way Ste 202, Berkeley, CA 94704-1443 | 2019-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241754 | Bede John Healey | Psychologist | 1371 La Loma Ave, Berkeley, CA 94708-2031 | 2020-06-30 |
| 1124683388 | Jason Craig Zeltser | Psychologist | 1708 Shattuck Ave Ste 9, Berkeley, CA 94709-1700 | 2019-05-03 |
| 1871157016 | Mary L Roche | Psychologist | 2955 Shattuck Ave Ste 3, Berkeley, CA 94705-1808 | 2019-04-23 |
| 1508320128 | Lauren Tolk | Psychologist | 1172 San Pablo Ave Ste 100, Berkeley, CA 94706-2258 | 2019-01-28 |
| 1336632876 | Jonathan Knight Howard | Psychologist | 2407 Dana St, Berkeley, CA 94704-2207 | 2018-06-09 |
| 1457866550 | Noah Bach Bar-tura | Psychologist | 2140 Shattuck Ave Ste 508, Berkeley, CA 94704-1222 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1881048775 | Phillip Montes | Psychologist | 2014 Channing Way Apt 3, Berkeley, CA 94704-1935 | 2016-04-18 |
| 1790199446 | Irene Chui | Psychologist | 1197 Sutter St, Berkeley, CA 94707-2637 | 2014-06-19 |
| 1629322763 | Roxanne Manning | Psychologist | 1325 Sacramento St, Apt 3, Berkeley, CA 94702-1235 | 2012-10-26 |
| Find all providers in BERKELEY | ||||
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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.