Benjamin Alex Morsa

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY29349 Issued in CA

Practice address

5299 College Ave Ste C7
Oakland, CA 94618-2809

Phone

(510) 423-8473

NPI assigned

Jul 9, 2014

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Benjamin Alex Van Auken Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tide Pools a Psychological Corporation

  • Psychologist
  • Oakland, CA
  • NPI 1861188567
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1306252564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 TELEGRAPH AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052035",
            "telephone_number": "510-423-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5299 COLLEGE AVE STE C7",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182809",
            "telephone_number": "510-423-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSA",
        "first_name": "BENJAMIN",
        "middle_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENJAMIN",
            "last_name": "VAN AUKEN",
            "middle_name": "ALEX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ilene Morrison, PH.D.
• Mary Katherine Morrison
• Sharon Ann Morrison, R.N.
• Lloyd C Morrissey, M.D.
• Khalilah Morrow-Goodlow, DOULA
• Roxanne None Morse, PSYCHOLOGIST
• Farah Morsy
• Adam Louis Mortimer, DO
• Dorothy Elaine Morton-Wilson, NP
• Cynthia J. Morton, MD

• Clinical Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.