PSYCHTOOLS PSYCHOLOGY GROUP P.C. (NPI# 1013332725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013332725 |
| Entity Type | Organization |
| Organization Name | PSYCHTOOLS PSYCHOLOGY GROUP P.C. |
| Practice Address |
1402 Park St Suite G Alameda CA 94501-4554 |
| Mailing Address |
1402 Park St Ste G Alameda CA 94501-4562 |
| Practice Telephone | 5109005123 |
| Mailing Telephone | 5109005123 |
| Mailing Fax Number | 8889744218 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2017-11-19 |
| Authorized Official Name | MARK JEFFREY VIGIL DOMBECK (PRESIDENT) |
| Authorized Official Telephone | 5109005123 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY25695 | CA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PSYCHTOOLS PSYCHOLOGY GROUP PC | 1230 College Ave, Alameda, CA 94501-5414 |
| Street Address |
1402 PARK ST SUITE G |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
| Find all providers in zip 94501 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225371438 | Hawlan Ng | Psychologist | 1415 Webster St Unit 3076, Alameda, CA 94501-7845 | 2013-04-05 |
| 1346496106 | Francesca N. De Miguel Roberson | Psychologist | 2000 Santa Clara Ave, Alameda, CA 94501-2721 | 2008-08-13 |
| 1942463047 | Debra Lynn Puryear | Psychologist | 1242 Park St Ste C, Alameda, CA 94501-5500 | 2008-07-08 |
| 1508076910 | Natalie Porter | Psychologist | 17 Eclipse Ct, Alameda, CA 94501-1144 | 2007-05-23 |
| 1427272723 | David Allyn Young | Psychologist | 73 Sand Harbor Rd, Alameda, CA 94502-6468 | 2007-04-11 |
| 1639220098 | Deborah Ronay | Psychologist | 2515 Santa Clara Ave Ste 207, Alameda, CA 94501-4668 | 2007-01-14 |
| 1730109042 | Benjamin Bradley Bernstein | Psychologist | 508 Westline Dr, Alameda, CA 94501-5847 | 2006-07-20 |
| 1407888779 | California Counseling Associates | Psychologist | 1242 Park St, Suite C, Alameda, CA 94501-5500 | 2006-07-07 |
| 1750803664 | Suzanne Allison Klein | Psychologist | 1312 Broadway, Alameda, CA 94501-4620 | 2017-07-12 |
| 1093194987 | Sokley Khoi, Phd Psychological Corporation | Psychologist | 2515 Santa Clara Ave, Suite 209, Alameda, CA 94501-4660 | 2015-05-25 |
| Find all providers in ALAMEDA | ||||
Please comment or provide details below to improve the information on PSYCHTOOLS PSYCHOLOGY GROUP P.C..
| 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.