DR. PAUL S. D. BERG (NPI# 1033294509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033294509 |
| Entity Type | Individual |
| Full Name | DR. PAUL S. D. BERG |
| Credential | PH.D. |
| Practice Address |
400 29th St Ste 315 Oakland CA 94609-3548 |
| Practice Telephone | 5108933413 |
| Practice Fax Number | 5108933435 |
| Mailing Telephone | 5108933413 |
| Mailing Fax Number | 5108933435 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
PSY2811 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740568070 | Paul K Berg | Specialist | 1312 Seacrest Dr, Corona Del Mar, CA 92625-1226 | 2011-08-03 |
| 1740377688 | Paul D Berg | Family Medicine | 4401 Campus Ridge Dr Ste 2100, Midland, MI 48640-6125 | 2006-10-10 |
| 1720066517 | Paul Eugene Berg | Dentist | 6519 Nicollet Ave S, #205, Richfield, MN 55423-1669 | 2006-01-03 |
| 1194254888 | Paul Berg IIi | Anesthesiologist Assistant | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2017-06-07 |
| 1417037409 | Paul Andrew Berg | Family Medicine | 1507 Rivery Blvd, Georgetown, TX 78628-3058 | 2006-10-16 |
| 1699875757 | Paul Arthur Berg Jr. | Physical Therapist | 1400 1st St Ne, New Prague, MN 56071-2215 | 2006-09-25 |
| 1003870429 | Paul S. Berg | Internal Medicine | 2001 Marcus Ave, Suite N204, New Hyde Park, NY 11042-2061 | 2006-04-13 |
| Street Address |
400 29TH ST STE 315 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194954677 | Kasra Eliasieh | Ophthalmology | 400 29th St Ste 315, Oakland, CA 94609-3548 | 2009-07-06 |
| 1366589822 | Ronald Kim Mckinzey | Psychologist | 400 29th St Ste 315, Oakland, CA 94609-3548 | 2007-01-31 |
| 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 Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467740373 | Elizabeth Tang-liang | Psychologist | 510 16th Street, Oakland, CA 94577 | 2011-07-12 |
| 1609057389 | Sharmila Raevette Wallace | Psychologist | 5425 Holland St Apt 3, Oakland, CA 94601-5742 | 2007-11-21 |
| 1609929652 | Robert Sargent | Psychologist | 4374 Norton Ave, Oakland, CA 94602-3541 | 2007-01-20 |
| 1356871446 | Inka Kristiina Hanhivaara | Psychologist | 1440 Broadway Ste 314, Oakland, CA 94612-2023 | 2017-06-12 |
| 1023364346 | Lauren Kristin Collins | Psychologist | 519 17th St, Suite # 210, Oakland, CA 94612-1527 | 2012-07-25 |
| 1619222924 | Allyson Vincent | Psychologist | 1440 Broadway, Oakland, CA 94612-2041 | 2012-07-24 |
| 1669727202 | Sarah Stephenson Evans | Psychologist | 1440 Broadway, Oakland, CA 94612-2041 | 2012-07-19 |
| 1114214368 | Melissa Anne Murphy | Psychologist | 1440 Broadway, Suite 610, Oakland, CA 94612-2041 | 2011-07-07 |
| 1407171580 | Charles Meyers | Psychologist | 445 Bellevue Ave, Suite 201, Oakland, CA 94610-4923 | 2010-04-01 |
| 1003059593 | Joan Jersey Ponath | Psychologist | 1515 Clay St Fl 10, Oakland, CA 94612-1499 | 2009-04-13 |
| 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.