Active NPI
Mark R Naas, PSY
- Psychologist
- Oakland, CA
National Provider Identifier
1427156850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY19156
- Practice address
- 3873 Piedmont Ave Ste 2
Oakland, CA 94611-5367 - Phone
- (925) 203-5810
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY19156 | CA | Primary |
Addresses
Primary practice location
3873 Piedmont Ave Ste 2
Oakland, CA 94611-5367
Mailing address
195 41St Street
P.O. Box 11214
Oakland, CA 94611
Phone (925) 203-5810
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19156 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1427156850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 41ST STREET",
"address_2": "P.O. BOX 11214",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94611",
"telephone_number": "925-203-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3873 PIEDMONT AVE STE 2",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115367",
"telephone_number": "925-203-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAAS",
"first_name": "MARK",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PSY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY19156",
"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 Mar 14, 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.