Center for Adolescent Studies, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25229 Issued in CA

Legal business name

CENTER FOR ADOLESCENT STUDIES, INC.

Practice address

4400 Keller Ave Ste 200
Oakland, CA 94605-4229

Phone

(510) 295-8977

NPI assigned

Aug 8, 2018

Organization subpart

No

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

Authorized official

Name

Sam Himelstein, PHD

Title

Ceo

Phone

(510) 247-0577

Specialties & licenses 6

Addresses

Other names 1

• Sam Himelstein Psychological Services Doing business as

Locations

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562976000000",
    "number": "1326527581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 KELLER AVE STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054229",
            "telephone_number": "510-470-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 KELLER AVE STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054229",
            "telephone_number": "510-295-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADOLESCENT STUDIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2019-07-13",
        "status": "A",
        "authorized_official_last_name": "HIMELSTEIN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-247-0577",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "PSY25229",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25229",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY25229",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY25229",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY25229",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY25229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam Himelstein Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sam Himelstein Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joann Celi
• David Celniker, PH.D.
• Stephanie Rosales Celso
• Biao Hui Cen
• Laura Adilene Centeno Garcia
• Center for Career Evaluations
• Center for Elders Independence
• Center for Empowering Refugees & Immigrants
• Center for Empowering Refugees and Immigrants
• Center for Empowering Refugees and Immigrants

• 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 Jul 13, 2019; 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.