DR. ALAN D. SHONKOFF


Address: 2340 Ward St, Suite 102, Berkeley, CA 94705-1124
Phone: 5108480402

DR. ALAN D. SHONKOFF (NPI# 1619198454) 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) 1619198454
Entity Type Individual
Full Name DR. ALAN D. SHONKOFF
Credential PH.D.
Practice Address 2340 Ward St
Suite 102
Berkeley
CA 94705-1124
Practice Telephone 5108480402
Mailing Telephone 5108480402
Enumeration Date 2007-05-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PSY 7303 CA Behavioral Health & Social Service Providers

Office Location

Street Address 2340 WARD ST
SUITE 102
City BERKELEY
State CA
Zip Code 94705-1124

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902808413 Frank Galen Mcknight Psychiatry & Neurology 2340 Ward St, Ste.204, Berkeley, CA 94705-1124 2005-08-15
1508375429 Yakov Barton Psychologist 2340 Ward St, Berkeley, CA 94705-1124 2017-09-22
1295280543 Rachelle Aiello Marriage & Family Therapist 2340 Ward St, Berkeley, CA 94705-1124 2016-08-16
1790110625 Hava Ratinsky Marriage & Family Therapist 2340 Ward St, 102, Berkeley, CA 94705-1124 2013-09-11
1669733747 Marc Teitelbaum Marriage & Family Therapist 2340 Ward St, #204, Berkeley, CA 94705-1124 2012-06-05
1750603866 Kathryn Ridall Marriage & Family Therapist 2340 Ward St, Suite 205, Berkeley, CA 94705-1124 2010-02-17
1285969899 Isabelle Evelyne Stierli Psychologist 2340 Ward St, 201, Berkeley, CA 94705-1124 2009-10-15
1619122173 Gail Bernice Reagan Social Worker 2340 Ward St, Suite 204, Berkeley, CA 94705-1124 2008-11-25
1437358272 Megan Leah Macmillan Marriage & Family Therapist 2340 Ward St, Suite 204, Berkeley, CA 94705-1124 2007-07-12
1033329594 Deeahna Marie Lorenz Psychologist 2340 Ward St, Suite 107, Berkeley, CA 94705-1124 2007-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447882956 Diane Lomas Wyatt Marriage & Family Therapist 2340 Ward St. Ste 104, Berkeley, CA 94705 2020-02-12
1700371275 Icecreamwala Dermatology Inc Dermatology 2435 Webster St Ste 101, Berkeley, CA 94705 2018-06-27
1396253803 David R Shaddock Marriage & Family Therapist 3030 Ashby Avenue, # 105, Berkeley, CA 94705 2018-01-18
1821504432 Allegra Tringali Physical Therapist 2450 Ashby Ave Fl 6, Berkeley, CA 94705 2017-12-19
1659898740 Hunter Brown Student in an Organized Health Care Education/Training Program Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 2017-08-29
1588014534 Heather Valdez Social Worker 2185 Ashby Ave, Berkeley, CA 94705 2016-06-20
1215350145 S.e.e.d.s. (social and Emotional Education Development and Support) Community/Behavioral Health 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 2014-01-29
1144580960 Benjamin Tucker Counselor 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 2012-05-26
1881966141 Jennifer Cowherd Behavioral Analyst 2201 Woolsey St, Berkeley, CA 94705 2012-02-02
1518255892 Erika D Huguenard Counselor 2811a College Avenue, Berkeley, CA 94705 2011-07-20
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801271432 Carina Grandison Clinical Neuropsychologist 2006 Dwight Way Ste 301, Berkeley, CA 94704-2633 2015-07-24
1104087071 Jayne D. Hagen Clinical Neuropsychologist 1213 Masonic Ave, Berkeley, CA 94706 2008-06-23
1770620593 Kristin Gross Clinical Neuropsychologist 1215 Oxford St, Berkeley, CA 94709-1422 2007-01-31
1598012742 Brigid Rose Clinical Neuropsychologist 2001 Dwight Way, Berkeley, CA 94704-2608 2012-08-07
1073771317 Charlotte Joanne Crawford Clinical Neuropsychologist 3120 Telegraph Ave, Suite 2, Berkeley, CA 94705-1900 2008-05-22
1972634079 Sonia Lifshay Clinical Neuropsychologist 2001 Dwight Way, 5 North, Berkeley, CA 94704-2608 2007-03-08
1346377280 Leslie Ross Clinical Neuropsychologist 2001 Dwight Way, 5e, Berkeley, CA 94704-2608 2007-02-27
1528194032 James Jeffrey Muir Clinical Neuropsychologist 2001 Dwight Way, Absmc Herrick, 5 North Rehabilitation, Berkeley, CA 94704-2608 2007-02-26
1891820510 Michael George Weber Clinical Neuropsychologist 2001 Dwight Way, 5 North, Berkeley, CA 94704-2608 2007-02-22
1205975760 Nancy Canning Clinical Neuropsychologist 2001 Dwight Way, 5th Floor North, Berkeley, CA 94704-2608 2007-02-05
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Competitor

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City BERKELEY
Zip Code 94705

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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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