Active NPI
Mike Thomas Pfister
- Specialist
- Oakland, CA
National Provider Identifier
1396806691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1422 Harrison St
Oakland, CA 94612-3903 - Phone
- (510) 809-1780
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1422 Harrison St
Oakland, CA 94612-3903
Mailing address
606 Alpine CT
Martinez, CA 94553
Phone (925) 324-3411
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1396806691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 ALPINE CT",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "94553",
"telephone_number": "925-324-3411",
"fax_number": "925-324-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 HARRISON ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123903",
"telephone_number": "510-809-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFISTER",
"first_name": "MIKE",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"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 Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.