Active NPI
Linda Kay Brunson, PHD
- Psychologist
- Oakland, CA
National Provider Identifier
1114040458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY14086
- Practice address
- 5435 College Avenue
Suite 202-7
Oakland, CA 94618 - Phone
- (510) 652-7702
- Fax
- (925) 979-1460
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY14086 | CA | Primary |
| Clinical Psychologist | 103TC0700X | PSY14086 | CA |
Addresses
Primary practice location
5435 College Avenue
Suite 202-7
Oakland, CA 94618
Mailing address
5435 College Avenue
Suite 202-7
Oakland, CA 94618
Phone (510) 652-7702
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14086 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY14086 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315699200000",
"number": "1114040458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5435 COLLEGE AVENUE",
"address_2": "SUITE 202-7",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94618",
"telephone_number": "510-652-7702",
"fax_number": "925-979-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5435 COLLEGE AVENUE",
"address_2": "SUITE 202-7",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94618",
"telephone_number": "510-652-7702",
"fax_number": "925-979-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNSON",
"first_name": "LINDA",
"middle_name": "KAY",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2011-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY14086",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY14086",
"primary": false
}
],
"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 Sep 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.