Active NPI
Sloan Jade Nova
- Clinical Child & Adolescent Psychologist
- Oakland, CA
National Provider Identifier
1306206065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 770 53Rd St
Oakland, CA 94609-1814 - Phone
- (510) 428-3742
- NPI assigned
- Feb 24, 2016
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
770 53Rd St
Oakland, CA 94609-1814
Mailing address
770 53Rd St
Oakland, CA 94609-1814
Other practice location 1
2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444
Other practice location 2
1918 University Ave
Berkeley, CA 94704-3264
Phone (510) 841-1275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1306206065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 53RD ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 53RD ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091814",
"telephone_number": "510-428-3742"
}
],
"practiceLocations": [
{
"address_1": "2275 Arlington Dr",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945781132",
"country_code": "US",
"telephone_number": "510-317-1444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1918 University Ave",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947043264",
"country_code": "US",
"telephone_number": "510-841-1275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVA",
"first_name": "SLOAN",
"middle_name": "JADE",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2016-02-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"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 Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.