Individual provider Active NPI

Dana Meeks, PSYD

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1336466218
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28846 Issued in CA
Practice address
410 12TH St Ste 325
Oakland, CA 94607-4489
Phone
(510) 338-3325
NPI assigned
Apr 30, 2010
Last updated
May 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Psychologist 103TC0700X PSY28846 CA Primary

Addresses

Primary practice location

410 12TH St Ste 325
Oakland, CA 94607-4489

Mailing address

410 12TH St Ste 325
Oakland, CA 94607-4489
Phone (510) 338-3325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170322001939 CA Practitioner - Clinical Psychologist 8921383530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridge Psychological Services IncGroup PAC ID 6709149727, 3 clinicians

Practice addresses (Care Compare)

410 12TH St
Suite 325
Oakland, CA 94607-4489
Phone (510) 338-3325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY28846CAMDClinical Psychologist
28846CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Psychological Services, Inc. CurrentSince Jan 21, 2018 Accepting new patients

Locations

1624 Franklin St
Ste 401
Oakland, CA 94612
Phone (510) 338-3325

410 12th St
Ste 325
Oakland, CA 94607
Phone (510) 338-3325

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1336466218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 12TH ST STE 325",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074489",
            "telephone_number": "510-338-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 12TH ST STE 325",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074489",
            "telephone_number": "510-338-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "DANA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.