PSYCHOPHARMACOLOGY CLINIC (NPI# 1962601765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962601765 |
| Entity Type | Organization |
| Organization Name | PSYCHOPHARMACOLOGY CLINIC |
| Other Organization Name | CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND |
| Practice Address |
5220 Claremont Ave Oakland CA 94618-1033 |
| Mailing Address |
747 52nd St Oakland CA 94609-1809 |
| Practice Telephone | 5104283351 |
| Mailing Telephone | 5104283885 |
| Mailing Fax Number | 5105977171 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | DR. CHERISE NORTHCUTT (DIRECTOR OF MENTAL HEALTH SERVICES) |
| Authorized Official Telephone | 5104283885 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Children's Hospital & Research Center at Oakland | Other Name - Individual/Organization |
| Street Address |
5220 CLAREMONT AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94618-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376530329 | Oakland Clinic Pharmacy | Pharmacist | 5220 Claremont Ave, Oakland, CA 94618-1033 | 2005-10-04 |
| 1730797747 | Tina Lu | Student in an Organized Health Care Education/Training Program | 5220 Claremont Ave, Oakland, CA 94618-1033 | 2020-07-15 |
| 1164078358 | Karen Jane Villanueva | Registered Nurse | 5220 Claremont Ave, Oakland, CA 94618-1033 | 2019-08-13 |
| 1093190209 | Yingying Wang | Pharmacist | 5220 Claremont Ave, Oakland, CA 94618-1033 | 2015-07-29 |
| 1700192556 | Melanie Marie Tervalon | Pediatrics | 5220 Claremont Ave, Oakland, CA 94618-1033 | 2010-08-30 |
| 1649462441 | Graciela Eulalia Rios Munoz | Case Manager/Care Coordinator | 5220 Claremont Ave, Oakland, CA 94618-1033 | 2007-08-15 |
| 1174714752 | Margaret Henderson Busher | Social Worker | 5220 Claremont Ave, Secon Floor, Oakland, CA 94618-1033 | 2007-08-07 |
| 1942345715 | Cathy Quides | Nurse Practitioner | 5220 Claremont Ave, Oakland, CA 94618-1033 | 2007-02-20 |
| 1134275456 | Mindy S Benson | Nurse Practitioner | 5220 Claremont Ave, Oakland, CA 94618-1033 | 2007-01-27 |
| 1346394590 | Janet Graul | Nurse Practitioner | 5220 Claremont Ave, Oakland, CA 94618-1033 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269031 | Philip A Tecau | Marriage & Family Therapist | 5120 Miles Ave, Oakland, CA 94618 | 2020-09-10 |
| 1881241362 | Mycal Moxley | Behavior Technician | 5330 College Avenue, Suite 240, Oakland, CA 94618 | 2019-08-20 |
| 1073174058 | Joyce Lindenbaum | Psychologist | 5435 College Ave., Ste 202, Oakland, CA 94618 | 2019-06-21 |
| 1740597806 | Alissa Warren Kimmell | Social Worker | 5297 College Ave Suite 106, Oakland, Ca., Oakland, CA 94618 | 2010-09-09 |
| 1811127749 | Edna Jeannene Bohannon | Marriage & Family Therapist | 5299 - College Ave., Suite 6, Oakland, CA 94618 | 2009-07-27 |
| 1942465141 | David Michael Poole | Counselor | 6295 Chabot Road, Oakland, CA 94618 | 2008-07-28 |
| 1598937161 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 5729 College Ave, Oakland, CA 94618 | 2008-03-24 |
| 1124201116 | Angela K. Shaiman | Marriage & Family Therapist | 5349 College Avenue, Oakland, CA 94618 | 2007-12-12 |
| 1639376965 | Catherine S Cassel | Social Worker | Suite 202-5, 5435 College Ave, Oakland, CA 94618 | 2007-06-29 |
| 1194936443 | Wendelin Leonard | Psychologist | 5309 College Avenue, Oakland, CA 94618 | 2007-05-25 |
| Find all providers in zip 94618 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669773008 | La Clinica De La Raza, Inc. | Clinic/Center | 3709 E 12th St, Oakland, CA 94601-4001 | 2010-11-16 |
| 1619177300 | Children's Hospital & Research Center At Oakland | Clinic/Center | 770 53rd St, Oakland, CA 94609 | 2007-07-20 |
| 1306329842 | Tammy Lynette Cloud | Clinic/Center | 8711 Macarthur Blvd, Oakland, CA 94605-4000 | 2018-09-11 |
| 1285125906 | A Better Way, Inc | Clinic/Center | 1926 E 19th St, Oakland, CA 94606-4126 | 2018-05-29 |
| 1477961613 | La Clinica De La Raza, Inc. | Clinic/Center | 4610 Foothill Blvd, Oakland, CA 94601-4618 | 2014-07-31 |
| 1255691036 | Children's Hospital & Research Center At Oakland | Clinic/Center | 5275 Claremont Ave, Oakland, CA 94609 | 2012-05-25 |
| 1881954725 | Child Assessment and Transition Services (cats) | Clinic/Center | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2012-05-25 |
| 1013105246 | The Alliance for Community Wellness | Clinic/Center | 3315 International Blvd, Oakland, CA 94601-3005 | 2007-10-12 |
| 1710177803 | Children's Hospital & Research Center At Oakland | Clinic/Center | 5275 Claremont Ave., Oakland, CA 94609 | 2007-07-26 |
| 1245430016 | Behavior Emergency Response Team | Clinic/Center | 747 52nd St, Oakland, CA 94609-1809 | 2007-07-20 |
| 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.