Active NPI
Louisa A. Parks, PSYD
- Clinical Psychologist
- Oakland, CA
National Provider Identifier
1205966405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY24459
- Practice address
- 4000 Broadway Ste 4
Oakland, CA 94611-5670 - Phone
- (855) 377-2757
- Fax
- (510) 625-0662
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY24459 | CA | |
| Clinical Psychologist | 103TC0700X | PSY24459 | CA | Primary |
| Clinical Psychologist | 103TC0700X | 019162 | NY |
Addresses
Primary practice location
4000 Broadway Ste 4
Oakland, CA 94611-5670
Mailing address
815 Creed Rd
Oakland, CA 94610-1826
Phone (855) 377-2757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Neuropsych, Inc. | Clinical Neuropsychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Neuropsychologist
- Alameda, CA
- NPI 1366725764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1205966405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 CREED RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101826",
"telephone_number": "855-377-2757",
"fax_number": "510-625-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 BROADWAY STE 4",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115670",
"telephone_number": "855-377-2757",
"fax_number": "510-625-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "LOUISA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY24459",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY24459",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "019162",
"primary": false
}
],
"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 Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.