LARA WEYLAND, PH.D., CLINICAL PSYCHOLOGY, INC. (NPI# 1013262906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013262906 |
| Entity Type | Organization |
| Organization Name | LARA WEYLAND, PH.D., CLINICAL PSYCHOLOGY, INC. |
| Practice Address |
2220 Mountain Blvd Suite 240 Oakland CA 94611-2958 |
| Practice Telephone | 5105315354 |
| Practice Fax Number | 5102223508 |
| Mailing Telephone | 5105315354 |
| Mailing Fax Number | 5102223508 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-31 |
| Authorized Official Name | DR. LARA ADELINE WEYLAND (CEO/PRESIDENT) |
| Authorized Official Telephone | 5105345354 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY14852 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2220 MOUNTAIN BLVD SUITE 240 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477949 | Paul M. Saxton | Social Worker | 2220 Mountain Blvd, Ste 240, Oakland, CA 94611-2905 | 2005-06-14 |
| 1871811216 | Arnold H. Brokstein | Dentist | 2220 Mountain Blvd, Suite 206, Oakland, CA 94611-2958 | 2010-05-10 |
| 1992948491 | Brandon Lowry Brawner | Counselor | 2220 Mountain Blvd, Oakland, CA 94611 | 2009-04-13 |
| 1679719520 | Purnell G Davis Jr. | Dentist | 2220 Mountain Blvd, Suite 206a, Oakland, CA 94611-2958 | 2008-12-24 |
| 1972775518 | David A. Rovno M.d. Inc | Psychiatry & Neurology | 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2958 | 2008-03-24 |
| 1205007069 | David A Rovno | Psychiatry & Neurology | 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2958 | 2008-03-19 |
| 1366575110 | Paula Torly | Psychologist | 2220 Mountain Blvd, Suite 240, Oakland, CA 94611 | 2007-03-13 |
| 1679605968 | Steven Bernard Herrmann | Marriage & Family Therapist | 2220 Mountain Blvd, #240, Oakland, CA 94611 | 2007-03-12 |
| 1669504601 | Jurgen Braungardt | Psychologist | 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2905 | 2007-03-12 |
| 1801931241 | Linda Kelly | Social Worker | 2220 Mountain Blvd, Suite 240, Oakland, CA 94611 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| 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.