A Sober Choice

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27577 Issued in CA

Legal business name

A SOBER CHOICE

Practice address

1271 Washington Ave
San Leandro, CA 94577-3646

Phone

(510) 610-9360

Fax

(510) 969-7932

NPI assigned

Aug 14, 2018

Last updated

Aug 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Najjuma Zakiya Shurn, PSYD

Title

President/Ceo

Phone

(510) 420-1800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1083194674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 WASHINGTON AVE # 445",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773646",
            "telephone_number": "510-610-9360",
            "fax_number": "510-969-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 WASHINGTON AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773646",
            "telephone_number": "510-610-9360",
            "fax_number": "510-969-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SOBER CHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "SHURN",
        "authorized_official_first_name": "NAJJUMA",
        "authorized_official_middle_name": "ZAKIYA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "510-420-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.