Dorothy Juliette Powell, PSY.D

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSB 29250 Issued in CA

Practice address

3301 E 12TH St
Suite 259
Oakland, CA 94601-3424

Phone

(510) 269-9103

Fax

(510) 269-9031

NPI assigned

Dec 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dorothy Juliette Powell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1144404419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST",
            "address_2": "SUITE 259",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013424",
            "telephone_number": "510-269-9103",
            "fax_number": "510-269-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST",
            "address_2": "SUITE 259",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013424",
            "telephone_number": "510-269-9103",
            "fax_number": "510-269-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DOROTHY",
        "middle_name": "JULIETTE",
        "name_prefix": "Ms.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSB 29250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "POWELL",
            "middle_name": "JULIETTE",
            "prefix": "DR.",
            "credential": "PSY.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karina Powell Hal, PA-C
• Armani Shakayla Powell
• Christine Powell
• Damon Anthony Powell, PH.D.
• Dijonae Powell
• Edgar W Powell IV, LMFT
• Frank Powell
• Gerald Powell, PTA
• Justin Dean Powell
• Theresa L Powell

• 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 Dec 21, 2007; 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.