Active NPI
Jessica Robyn Lipkind, PSYD
- Psychologist
- Oakland, CA
National Provider Identifier
1063550424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 21623
- Practice address
- 3301 E 12TH St Ste 259
Oakland, CA 94601-2940 - Phone
- (510) 269-9030
- Fax
- (510) 269-9031
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RPS2006095 | CA | |
| Psychologist | 103T00000X | 21623 | CA | Primary |
Addresses
Primary practice location
3301 E 12TH St Ste 259
Oakland, CA 94601-2940
Mailing address
1301 14TH Ave Apt 3
San Francisco, CA 94122-2137
Phone (415) 786-6999
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21623 | CA | MD | Psychologist |
| RPS2006095 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1063550424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 14TH AVE APT 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941222137",
"telephone_number": "415-786-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 E 12TH ST STE 259",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012940",
"telephone_number": "510-269-9030",
"fax_number": "510-269-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPKIND",
"first_name": "JESSICA",
"middle_name": "ROBYN",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "RPS2006095",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "21623",
"primary": true
}
],
"identifiers": [],
"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 Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.