NPIMap

Organization Active NPI

Psychological Assessment, Inc.

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1215310354
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY21261 Issued in CA
Legal business name
PSYCHOLOGICAL ASSESSMENT, INC.
Practice address
1440 Broadway
Suite 314
Oakland, CA 94612-2041
Phone
(888) 524-5122
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Dr. Rachyll Dempsey, PSYD
Title
Ceo
Phone
(888) 524-5122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY26626 CA
Community/Behavioral Health Agency 251S00000X PSY21261 CA Primary

Addresses

Primary practice location

1440 Broadway
Suite 314
Oakland, CA 94612-2041

Mailing address

15501 San Pablo Ave
G317
Richmond, CA 94806-5848
Phone (888) 524-5122

National Provider Directory

National Provider Directory

Locations

1440 Broadway
Ste 314
Oakland, CA 94612
Phone (415) 450-8216

1160 Brickyard Cove Rd
#1
Richmond, CA 94801
Phone (888) 524-5122

15501 San Pablo Ave
#G317
Richmond, CA 94806
Phone (888) 524-5122

Practitioners & affiliated clinicians

Practitioners 11

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": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1215310354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 SAN PABLO AVE",
            "address_2": "G317",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065848",
            "telephone_number": "888-524-5122",
            "fax_number": "888-524-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 BROADWAY",
            "address_2": "SUITE 314",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122041",
            "telephone_number": "888-524-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSESSMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "RACHYLL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-524-5122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY26626",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY21261",
            "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 Jul 7, 2015; 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.