Whole Child Psychological Services, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY22017 Issued in CA

Legal business name

WHOLE CHILD PSYCHOLOGICAL SERVICES, PC

Practice address

2110 6TH St
Berkeley, CA 94710-2243

Phone

(510) 847-8797

NPI assigned

Nov 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lauren Tolk, PSY.D.

Title

Executive Director

Phone

(510) 847-8797

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1003150830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 6TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102243",
            "telephone_number": "510-847-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 6TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102243",
            "telephone_number": "510-847-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE CHILD PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "TOLK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-847-8797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "PSY22017",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY22017",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen J. Whitgob, M.D.
• Robin N. Whitley, D.D.S.
• Linda R Whitman Flamm, PSY
• James David Whitmer, M.D.
• Nikolus Whitmire, PSYD
• Whole Health Services
• Whole Health Services Acupuncture Corp
• Holly T Wieber, DDS
• Jeffrey Alan Wieder, MD
• Tatiana Wiggins

• Community/Behavioral Health Agency in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.