Individual provider Active NPI

Ariana Heller, MA, MA.ED

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1083771612
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24618 Issued in CA
Practice address
5655 College Ave Ste 314C
Oakland, CA 94618-1670
Phone
(510) 543-5343
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY24618 CA Primary

Addresses

Primary practice location

5655 College Ave Ste 314C
Oakland, CA 94618-1670

Mailing address

PO Box 5654
Berkeley, CA 94705-0654
Phone (510) 543-5343

Other practice location 1

668 Quinan St
Pinole, CA 94564-1621
Phone (510) 741-8642 ext. 165

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
PSY24618CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083771612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5654",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947050654",
            "telephone_number": "510-543-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 COLLEGE AVE STE 314C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181670",
            "telephone_number": "510-543-5343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "668 Quinan St",
            "address_purpose": "LOCATION",
            "city": "Pinole",
            "state": "CA",
            "postal_code": "945641621",
            "country_code": "US",
            "telephone_number": "510-741-8642 x165",
            "fax_number": "510-724-5499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLER",
        "first_name": "ARIANA",
        "name_prefix": "Ms.",
        "credential": "MA, MA.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24618",
            "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 Mar 17, 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.

Verify at the official NPI Registry.