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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | PSY 7303 | CA | Behavioral Health & Social Service Providers |
Street Address |
2340 WARD ST SUITE 102 |
City | BERKELEY |
State | CA |
Zip Code | 94705-1124 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 94705 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
Find all providers in BERKELEY |
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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.