Active NPI
David Celniker, PH.D.
- Clinical Psychologist
- Oakland, CA
National Provider Identifier
1386790673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY18499
- Practice address
- 5665 College Ave Ste 230C
Oakland, CA 94618-1639 - Phone
- (510) 547-0103
- NPI assigned
- Jan 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY18499 | CA | Primary |
Addresses
Primary practice location
5665 College Ave Ste 230C
Oakland, CA 94618-1639
Mailing address
5665 College Ave Ste 230C
Oakland, CA 94618-1639
Phone (510) 547-0103
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300959 | Other | CA | MANAGED HEALTH NETWORK |
| OPL184990 | Other | CA | BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18499 | CA | MD | Clinical Psychologist |
| 18499 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1386790673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 COLLEGE AVE STE 230C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181639",
"telephone_number": "510-547-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 COLLEGE AVE STE 230C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181639",
"telephone_number": "510-547-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELNIKER",
"first_name": "DAVID",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-27",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY18499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "300959",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "OPL184990",
"state": "CA"
}
],
"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 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.