DR. LARA ADELINE WEYLAND (NPI# 1720187578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720187578 |
| Entity Type | Individual |
| Full Name | DR. LARA ADELINE WEYLAND |
| Credential | PH.D. |
| Practice Address |
2220 Mountain Blvd Suite 240 Oakland CA 94611-2905 |
| Mailing Address |
5740 Olinda Rd El Sobrante CA 94803-3542 |
| Practice Telephone | 5105315354 |
| Practice Fax Number | 5102223508 |
| Mailing Telephone | 5102229043 |
| Mailing Fax Number | 5102223508 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY14852 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY148520 | 05 |
| Street Address |
2220 MOUNTAIN BLVD SUITE 240 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477949 | Paul M. Saxton | Social Worker | 2220 Mountain Blvd, Ste 240, Oakland, CA 94611-2905 | 2005-06-14 |
| 1013262906 | Lara Weyland, Ph.d., Clinical Psychology, Inc. | Psychologist | 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2958 | 2012-07-17 |
| 1871811216 | Arnold H. Brokstein | Dentist | 2220 Mountain Blvd, Suite 206, Oakland, CA 94611-2958 | 2010-05-10 |
| 1992948491 | Brandon Lowry Brawner | Counselor | 2220 Mountain Blvd, Oakland, CA 94611 | 2009-04-13 |
| 1679719520 | Purnell G Davis Jr. | Dentist | 2220 Mountain Blvd, Suite 206a, Oakland, CA 94611-2958 | 2008-12-24 |
| 1972775518 | David A. Rovno M.d. Inc | Psychiatry & Neurology | 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2958 | 2008-03-24 |
| 1205007069 | David A Rovno | Psychiatry & Neurology | 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2958 | 2008-03-19 |
| 1366575110 | Paula Torly | Psychologist | 2220 Mountain Blvd, Suite 240, Oakland, CA 94611 | 2007-03-13 |
| 1679605968 | Steven Bernard Herrmann | Marriage & Family Therapist | 2220 Mountain Blvd, #240, Oakland, CA 94611 | 2007-03-12 |
| 1669504601 | Jurgen Braungardt | Psychologist | 2220 Mountain Blvd, Suite 240, Oakland, CA 94611-2905 | 2007-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661430 | Gina M Arias | Psychologist | 3287 Madera Ave, Oakland, CA 94619-3412 | 2020-05-22 |
| 1871127464 | Karena Berghold Passaro | Psychologist | 5665 College Ave Ste 230d, Oakland, CA 94618-1639 | 2020-02-24 |
| 1053883025 | Lindsey Brooke Hopkins | Psychologist | 287 17th St Ste A, Oakland, CA 94612-4191 | 2018-12-31 |
| 1164903563 | Mindhealth, A Professional Psychology Corporation | Psychologist | 585 Mandana Blvd Ste 1, Oakland, CA 94610-2265 | 2018-08-23 |
| 1306338892 | Mark Fromm | Psychologist | 3296 Jordan Rd, Oakland, CA 94602-3535 | 2018-05-31 |
| 1205363199 | Holly Lynn Buckman | Psychologist | 1440 Broadway Ste 314, Oakland, CA 94612-2023 | 2017-05-22 |
| 1871942904 | Terri Marie Rech | Psychologist | 5835 College Ave Ste C, Oakland, CA 94618-1653 | 2016-06-09 |
| 1760867329 | William Barone | Psychologist | 360 Monte Vista Ave Apt 309, Oakland, CA 94611-4559 | 2015-07-24 |
| 1568853067 | Jason Carpenter | Psychologist | 715 62nd St, Oakland, CA 94609-1213 | 2015-02-05 |
| 1235535568 | Monique Thompson | Psychologist | 5297 College Ave # 206, Oakland, CA 94618-1462 | 2014-11-13 |
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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.