PATHFINDER PSYCHOLOGICAL SERVICES, INC.


Address: 600 Grand Ave # 301, Oakland, CA 94610-3548
Phone: 5106989311

PATHFINDER PSYCHOLOGICAL SERVICES, INC. (NPI# 1447745542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447745542
Entity Type Organization
Organization Name PATHFINDER PSYCHOLOGICAL SERVICES, INC.
Practice Address 600 Grand Ave # 301
Oakland
CA 94610-3548
Mailing Address 3206 Ettie St
Oakland
CA 94608-4016
Practice Telephone 5106989311
Mailing Telephone 5106989311
Mailing Fax Number 5103732573
Enumeration Date 2018-06-30
Last Update Date 2018-06-30
Authorized Official Name DR. COURTNEY THOMAS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 5106989311
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
PSY28843 CA Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
PSY28843 CA Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
PSY28843 CA Ambulatory Health Care Facilities

Office Location

Street Address 600 GRAND AVE # 301
City OAKLAND
State CA
Zip Code 94610-3548

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467944033 Danielle Elissa Comerford Marriage & Family Therapist 370 Grand Ave Ste 4, Oakland, CA 94610 2018-05-30
1073042628 Thien Lake Acupuncture Clinic/Center 3654 Grand Aveune, Oakland, CA 94610 2017-06-07
1508239302 Montserrat Corsino Acupuncturist 493 Prince St, Oakland, CA 94610 2015-11-03
1376978593 Mazen Abudllah Basidiq Registered Nurse 271 Jayne Ave. Suite # 11, Oakland, CA 94610 2013-09-06
1740523026 Katiah Llerena Psychologist 414 Lake Park Ave, #595, Oakland, CA 94610 2013-04-04
1033459409 Shelly Lynn Henderson-hansen Speech-Language Pathologist 3756 Grand Ave, Suite 401, Oakland, CA 94610 2013-02-22
1013267806 Sara-jean Lizabeth Bartky Speech-Language Pathologist 55 Santa Clara Ave #203, Oakland, CA 94610 2012-09-19
1053667139 Juanita Lerma Hernandez-morin Counselor 1375 55th Street, Emeryville, CA 94610 2012-07-26
1396030672 Catherine Maness Marriage & Family Therapist 123 Bay Place, Ste 6, Oakland, CA 94610 2011-06-14
1871807529 Jaime Beth Levy Marriage & Family Therapist 1001 Warfield Ave Apt 103, Oakland, CA 94610 2010-08-04
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1093014151 David Pingitore, Phd, Clin. Psych., Inc. Clinic/Center 120 Glen Eden Ave, Oakland, CA 94611-4319 2011-03-15
1629379896 La Clinica De La Raza, Inc. Clinic/Center 1415-1423 Fruitvale Ave, Oakland, CA 94601-2320 2010-11-04
1598852741 Telecare Corporation Clinic/Center 280 17th St, Oakland, CA 94612-4124 2006-10-09
1801983960 Telecare Corporation Clinic/Center 7200 Bancroft Ave Ste 133, Oakland, CA 94605-2480 2006-10-09
1861041626 Roshelle Ogundele Licensed Clinical Social Worker Inc Clinic/Center 2940 Summit St, Oakland, CA 94609-3416 2019-09-05
1871065813 Specialty Physicians of Garrett County, LLC Clinic/Center 69 Wolf Acres Dr Lowr Level, Oakland, MD 21550-2046 2018-12-31
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Competitor

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City OAKLAND
Zip Code 94610

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Dataset Information

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.

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