Village Counseling & Assessment Center a Psychological Services Clinic

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20965 Issued in CA

Legal business name

VILLAGE COUNSELING & ASSESSMENT CENTER A PSYCHOLOGICAL SERVICES CLINIC

Practice address

1955 Mountain Blvd
Ste 111
Oakland, CA 94611-2830

Phone

(510) 339-8221

Fax

(510) 339-8223

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed M Darwish, PSYD, JD

Title

Executive Director

Phone

(510) 339-8221

Specialties & licenses 1

Addresses

Other names 1

• Village Counseling & Assessment Center Other name

Locations

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1073772711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MOUNTAIN BLVD",
            "address_2": "STE 111",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112830",
            "telephone_number": "510-339-8221",
            "fax_number": "510-339-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MOUNTAIN BLVD",
            "address_2": "STE 111",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112830",
            "telephone_number": "510-339-8221",
            "fax_number": "510-339-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE COUNSELING & ASSESSMENT CENTER A PSYCHOLOGICAL SERVICES CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "DARWISH",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-339-8221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, JD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Counseling & Assessment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Marie Villa, PA
• Susan M. Villa, MD
• Dianne Ramirez Villacampa, MD
• Ana Camila Villacres Alarcon
• Carissa Marie Villafana
• Alondra Villagomez
• Elizabeth Jimenez Villagomez
• Silvia M Villagomez, MD
• Cecilia Villalobos, LCSW
• Joel Villalobos

• Clinical Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.