Carmelinda Martin Mann, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27719 Issued in CA

Practice address

3655 Grand Ave
Oakland, CA 94610-2009

Phone

(415) 574-0162

NPI assigned

Feb 13, 2008

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Family Tree Psychology Group Inc.

  dba Family Tree Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakland, CA
  • NPI 1619581337
  NPD Authorized official

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1326216235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102009",
            "telephone_number": "415-574-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102009",
            "telephone_number": "415-574-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "CARMELINDA",
        "middle_name": "MARTIN",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2024-02-27",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iona Mani
• Ernest Maningding, MD, MPH
• Reshma Manjiyani, LCSW
• Richard Shannon Manley III, DC
• Shannon Lyn Manley, FNP-BC
• Jeffrey A. Mann, M.D.
• Roger A. Mann, M.D.
• David Manner
• Avon Day Manney
• Erika Diane Manning

• 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 Feb 27, 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.