Engaging the Moment, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY25229 Issued in CA

Legal business name

ENGAGING THE MOMENT, LLC

Practice address

329 14TH St # a
Oakland, CA 94612-3906

Phone

(510) 295-8977

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sam Himelstein, PHD

Title

Director

Phone

(510) 295-8977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1144643412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 WINTHROPE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946053654",
            "telephone_number": "510-295-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 14TH ST # A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123906",
            "telephone_number": "510-295-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGAGING THE MOMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "HIMELSTEIN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-295-8977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY25229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.