Individual provider Active NPI

Evan Cittadino

  • Family Psychologist
  • Oakland, CA
National Provider Identifier
1336982065
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
Practice address
3824 Buell St Ste A2
Oakland, CA 94619-2861
Phone
(925) 727-3713
NPI assigned
Jun 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X Primary

Addresses

Primary practice location

3824 Buell St Ste A2
Oakland, CA 94619-2861

Mailing address

201 Coggins Dr
Pleasant Hill, CA 94523-4566

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Home Health, Inc. CurrentSince Jun 23, 2024 Accepting new patients
Sentry Living Solutions CurrentSince Aug 3, 2025 Accepting new patients

Locations

3824 Buell St
Ste A2
Oakland, CA 94619
Phone (209) 877-7844

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1336982065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COGGINS DR",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 BUELL ST STE A2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192861",
            "telephone_number": "925-727-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITTADINO",
        "first_name": "EVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "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 19, 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.