Active NPI
Choicetherapy Psychological Services, Inc.
- Psychologist
- Berkeley, CA
National Provider Identifier
1194577437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marisa Mazza, PSYD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryLocations
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.
-
- Psychologist
- Oakland, CA
- NPI 1538319520
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.