Organization Active NPI

Alameda Neuropsych, Inc.

  • Clinical Neuropsychologist
  • Alameda, CA
National Provider Identifier
1366725764
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
ALAMEDA NEUROPSYCH, INC.
Practice address
1516 Oak St
Suite 313
Alameda, CA 94501-2947
Phone
(510) 337-9452
Fax
(510) 337-9452
NPI assigned
Sep 21, 2011
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Teresa Thomas, PHDNPI 1952325169
Title
Owner
Phone
(510) 337-9452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary
Family Psychologist 103TF0000X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

1516 Oak St
Suite 313
Alameda, CA 94501-2947

Mailing address

1516 Oak St
Suite 313
Alameda, CA 94501-2947
Phone (510) 377-9452

Other identifiers 1

IdentifierTypeStateIssuer
7336365OtherCAAETNA

National Provider Directory

National Provider Directory

Locations

1516 Oak St
Ste 313
Alameda, CA 94501
Phone (510) 337-9452

177 Bovet Rd
Fl 6
San Mateo, CA 94402

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1366725764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 OAK ST",
            "address_2": "SUITE 313",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012947",
            "telephone_number": "510-377-9452",
            "fax_number": "510-377-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 OAK ST",
            "address_2": "SUITE 313",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012947",
            "telephone_number": "510-337-9452",
            "fax_number": "510-337-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA NEUROPSYCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-337-9452",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7336365",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.