Organization Active NPI

Unfold Psychology: a. Heafey Practice

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1184287435
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
UNFOLD PSYCHOLOGY: A. HEAFEY PRACTICE
Practice address
1955 Mountain Blvd.
Suite 101
Oakland, CA 94611
Phone
(202) 615-0711
NPI assigned
Apr 22, 2019
Last updated
Aug 7, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
UNFOLD PSYCHOLOGY A HEAFEY PRACTICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Mr. Richard Austin HeafeyNPI 1629336003
Title
President
Phone
(202) 615-0711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

1955 Mountain Blvd.
Suite 101
Oakland, CA 94611

Mailing address

1955 Mountain Blvd.
Suite 101
Oakland, CA 94611
Phone (202) 615-0711

National Provider Directory

National Provider Directory
Part of
Unfold Psychology a Heafey Practice

Locations

1955 Mountain Blvd
Ste 101
Oakland, CA 94611
Phone (202) 615-0711

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1184287435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MOUNTAIN BLVD.",
            "address_2": "SUITE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "202-615-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MOUNTAIN BLVD.",
            "address_2": "SUITE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "202-615-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNFOLD PSYCHOLOGY: A. HEAFEY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNFOLD PSYCHOLOGY A HEAFEY PRACTICE",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "HEAFEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-615-0711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 7, 2019; 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.