Bay Area Collaborative Psychology Group, Inc.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

BAY AREA COLLABORATIVE PSYCHOLOGY GROUP, INC.

Practice address

4000 Broadway Suite 4
Oakland, CA 94611

Phone

(510) 652-7011

Fax

(510) 380-5298

NPI assigned

Oct 22, 2010

Last updated

Oct 22, 2010By 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. Patrick Dean Chrisman, PSYD

Title

Secretary

Phone

(510) 652-7011

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harmony J. Satre, PSYD

  • Clinical Psychologist
  • Meridian, ID
  • NPI 1053518704
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1083914253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BROADWAY SUITE 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "510-652-7011",
            "fax_number": "510-380-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BROADWAY SUITE 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "510-652-7011",
            "fax_number": "510-380-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA COLLABORATIVE PSYCHOLOGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "CHRISMAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "510-652-7011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Bautista
• Heidi Baxter
• Joshua Baxter, FNP-C
• Laquisha Hope Baxter
• Bay Area Children's Association Oakland
• Bay Area Committed to Kids Medical Group, Inc.
• Bay Area Community Services
• Bay Area Community Services, Inc.
• Bay Area Community Services, Inc.
• Bay Area Community Services, Inc.

• Clinical Child & Adolescent Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.