Individual provider Active NPI

Camille Lumsden, M.S., PPSC

  • School Psychologist
  • Oakland, CA
National Provider Identifier
1376376715
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
915 54TH St
Oakland, CA 94608-3142
Phone
(925) 348-4733
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X CA Primary

Addresses

Primary practice location

915 54TH St
Oakland, CA 94608-3142

Mailing address

271 Santa Clara Ave Apt 8
Oakland, CA 94610-2638
Phone (925) 348-4733

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Unified School District CurrentSince Aug 25, 2024 Accepting new patients
Oakland Unified School District CurrentSince Aug 25, 2024 Accepting new patients

Locations

915 54th St
Oakland, CA 94608
Phone (510) 879-5003

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": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1376376715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 SANTA CLARA AVE APT 8",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102638",
            "telephone_number": "925-348-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 54TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946083142",
            "telephone_number": "925-348-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMSDEN",
        "first_name": "CAMILLE",
        "credential": "M.S., PPSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "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 Aug 21, 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.