Individual provider Active NPI

Adam Kremen, PH.D.

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1265577928
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY15509 Issued in CA
Practice address
5309 College Ave
Oakland, CA 94618-1416
Phone
(510) 428-0692
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY15509 CA Primary

Addresses

Primary practice location

5309 College Ave
Oakland, CA 94618-1416

Mailing address

3775 Silverwood Ave
Oakland, CA 94602-3944
Phone (510) 531-6522

Other identifiers 1

IdentifierTypeStateIssuer
PSY15509OtherCAPSYCHOLOGY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15509CAMDClinical Psychologist
15509CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stan Markowski Psychology Corp Clinical PastSince Dec 8, 2024 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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265577928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 SILVERWOOD AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023944",
            "telephone_number": "510-531-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181416",
            "telephone_number": "510-428-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMEN",
        "first_name": "ADAM",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PSY15509",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.