Mindhealth, a Professional Psychology Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY18990 Issued in CA

Legal business name

MINDHEALTH, A PROFESSIONAL PSYCHOLOGY CORPORATION

Practice address

585 Mandana Blvd Ste 1
Oakland, CA 94610-2265

Phone

(510) 282-8089

NPI assigned

Aug 23, 2018

Last updated

Aug 23, 2018By 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

John Parke, PSY.D.NPI 1740361476

Title

Psychologist

Phone

(510) 282-8089

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• John S. Parke, PSY.D.

  • Clinical Psychologist
  • Belmont, CA
  • NPI 1740361476
  Authorized official Same address or phone
• Danielle Goodmann, PHD

  • Psychologist
  • Oakland, CA
  • NPI 1982079877
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1164903563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MANDANA BLVD STE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MANDANA BLVD STE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102265",
            "telephone_number": "510-282-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDHEALTH, A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "PARKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "510-282-8089",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1740361476",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Emily Neff Minahan, CNM, WHNP, RN
• Tobia Jeanette Minckler, MS
• Mind, Body, and Soul Therapy LLC
• Mindful Birthing and Parenting Foundation
• Mindful Speech-Language Therapy, Inc.
• Mindy Werner-Crohn, M.D., Inc, (Blue Sky Psychiatry)
• Jennifer Louise Miner
• Robert E Mines Jr., M.D.
• Aubry Mingming
• Michal Mingura, PHARMD

• Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.