Individual provider Active NPI

Molly Hill McCobb

  • Student in an Organized Health Care Education/Training Program
  • Richmond, CA
National Provider Identifier
1215212907
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
34836 Issued in CA
Practice address
3219 Pierce St
Richmond, CA 94804-5910
Phone
(510) 559-3009
NPI assigned
Oct 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Student in an Organized Health Care Education/Training Program 390200000X 34836 CA Primary

Addresses

Primary practice location

3219 Pierce St
Richmond, CA 94804-5910

Mailing address

2907 Fulton St
Berkeley, CA 94705-1862
Phone (415) 385-6936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 4, 2023 through Aug 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34836CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Resources, Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1215212907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 FULTON ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051862",
            "telephone_number": "415-385-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 PIERCE ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948045910",
            "telephone_number": "510-559-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOBB",
        "first_name": "MOLLY",
        "middle_name": "HILL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "34836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

Verify at the official NPI Registry.