Organization Active NPI

Choicetherapy Psychological Services, Inc.

  • Psychologist
  • Berkeley, CA
National Provider Identifier
1194577437
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CHOICETHERAPY PSYCHOLOGICAL SERVICES, INC.
Practice address
2397 Shattuck Avenue
Suite 206
Berkeley, CA 94704
Phone
(415) 202-3031
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Dr. Marisa Mazza, PSYDNPI 1538319520
Title
Owner
Phone
(415) 202-3031

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2397 Shattuck Avenue
Suite 206
Berkeley, CA 94704

Mailing address

58 W Portal Ave # 578
San Francisco, CA 94127-1304
Phone (415) 202-3031

National Provider Directory

National Provider Directory

Locations

2397 Shattuck Ave
Ste 206
Berkeley, CA 94704
Phone (510) 599-9421

58 West Portal Ave
San Francisco, CA 94127
Phone (415) 295-2556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1194577437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 W PORTAL AVE # 578",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271304",
            "telephone_number": "415-202-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2397 SHATTUCK AVENUE",
            "address_2": "SUITE 206",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "415-202-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICETHERAPY PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-202-3031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.