Active NPI
Clearpath ADHD LLC
- Clinic/Center
- Oakland, CA
National Provider Identifier
1417795642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- CLEARPATH ADHD LLC
- Practice address
- 1460 E 31St St
Oakland, CA 94602-1019 - Phone
- (214) 435-6716
- NPI assigned
- Jul 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Clack
- Title
- Ceo
- Phone
- (214) 435-6716
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | |||
| Clinical Psychologist | 103TC0700X | |||
| Psychiatry Physician | 2084P0800X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
1460 E 31St St
Oakland, CA 94602-1019
Mailing address
1460 E 31St St
Oakland, CA 94602-1019
Phone (214) 435-6716
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721433600000",
"number": "1417795642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 E 31ST ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021019",
"telephone_number": "214-435-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 E 31ST ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021019",
"telephone_number": "214-435-6716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARPATH ADHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-20",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A",
"authorized_official_last_name": "CLACK",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-435-6716"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 20, 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.