Active NPI
Mark Fromm
- Psychologist
- Oakland, CA
National Provider Identifier
1306338892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY9258
- Practice address
- 3296 Jordan Rd
Oakland, CA 94602-3535 - Phone
- (510) 220-2183
- NPI assigned
- May 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY9258 | CA | Primary |
Addresses
Primary practice location
3296 Jordan Rd
Oakland, CA 94602-3535
Mailing address
3296 Jordan Rd
Oakland, CA 94602-3535
Phone (510) 220-2183
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY9258 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1306338892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3296 JORDAN RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946023535",
"telephone_number": "510-220-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3296 JORDAN RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946023535",
"telephone_number": "510-220-2183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROMM",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-31",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY9258",
"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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.