Active NPI
Scott Jay Madover, PH.D.
- Family Psychologist
- Oakland, CA
National Provider Identifier
1033266234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- Practice address
- 7200 Bancroft Ave
Eastmont Town Center BLDG. B Suite 133
Oakland, CA 94605-2403 - Phone
- (510) 553-8500
- Fax
- (510) 553-8550
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Clinical Psychologist | 103TC0700X | PSY 14788 | CA | |
| Counseling Psychologist | 103TC1900X | |||
| Family Psychologist | 103TF0000X | Primary |
Addresses
Primary practice location
7200 Bancroft Ave
Eastmont Town Center BLDG. B Suite 133
Oakland, CA 94605-2403
Mailing address
37 Heritage CT
Belmont, CA 94002-2944
Phone (510) 553-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801983960 | Other | CA | ICM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 14788 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Clinical Group, a Psychology Corporation | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Pasadena, CA
- NPI 1790213247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1033266234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 HERITAGE CT",
"city": "BELMONT",
"state": "CA",
"postal_code": "940022944",
"telephone_number": "510-553-8500",
"fax_number": "510-553-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 BANCROFT AVE",
"address_2": "EASTMONT TOWN CENTER BLDG. B SUITE 133",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052403",
"telephone_number": "510-553-8500",
"fax_number": "510-553-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADOVER",
"first_name": "SCOTT",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 14788",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ICM",
"identifier": "1801983960",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.