NPIMap

Organization Active NPI

Willliam L Spivey PH.D. Psychological Corporation a Profes Corp

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1245458702
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY6159 Issued in CA
Legal business name
WILLLIAM L SPIVEY PH.D. PSYCHOLOGICAL CORPORATION A PROFES CORP
Practice address
2940 Summit St
Suite 2-a
Oakland, CA 94609
Phone
(510) 893-2001
Fax
(510) 893-2027
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Mr. William Lane Spivey, DOCTORATE PHD
Title
Owner Psychologist
Phone
(510) 893-2001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PSY6159 CA Primary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X ASW11787 CA

Addresses

Primary practice location

2940 Summit St
Suite 2-a
Oakland, CA 94609

Mailing address

2940 Summit St
Suite 2-a
Oakland, CA 94609
Phone (510) 893-2001

Other names 1

  • Family & Child Counseling Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1245458702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SUMMIT ST",
            "address_2": "SUITE 2-A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-893-2001",
            "fax_number": "510-893-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 SUMMIT ST",
            "address_2": "SUITE 2-A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-893-2001",
            "fax_number": "510-893-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLLIAM L SPIVEY PH.D. PSYCHOLOGICAL CORPORATION A PROFES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER PSYCHOLOGIST",
        "authorized_official_telephone_number": "510-893-2001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DOCTORATE PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6159",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW11787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family & Child Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 2014; 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.