Organization Active NPI

Ann Gildersleeve, Psychology, a Professional Corporation

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1265709828
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS7989 Issued in CA
Legal business name
ANN GILDERSLEEVE, PSYCHOLOGY, A PROFESSIONAL CORPORATION
Practice address
1980 Mountain Blvd
Ste. 201
Oakland, CA 94611-2833
Phone
(510) 339-2333
Fax
(510) 654-9319
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Ann Gildersleeve, PH.D.
Title
Psychologist/Owner
Phone
(510) 339-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS7989 CA Primary

Addresses

Primary practice location

1980 Mountain Blvd
Ste. 201
Oakland, CA 94611-2833

Mailing address

1980 Mountain Blvd
Ste. 201
Oakland, CA 94611-2833
Phone (510) 339-2333

National Provider Directory

National Provider Directory

Locations

1980 Mountain Blvd
Ste 201
Oakland, CA 94611
Phone (510) 339-2333

Practitioners & affiliated clinicians

Practitioners 1

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": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1265709828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 MOUNTAIN BLVD",
            "address_2": "STE. 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112833",
            "telephone_number": "510-339-2333",
            "fax_number": "510-654-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 MOUNTAIN BLVD",
            "address_2": "STE. 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112833",
            "telephone_number": "510-339-2333",
            "fax_number": "510-654-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN GILDERSLEEVE, PSYCHOLOGY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "GILDERSLEEVE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "510-339-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PS7989",
            "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 Nov 28, 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.

Verify at the official NPI Registry.