Active NPI
Elizabeth A. Preston, PHD
- Clinical Psychologist
- Oakland, CA
National Provider Identifier
1437180692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY12735
- Practice address
- 1305 Franklin St Ste 509
Oakland, CA 94612-3224 - Phone
- (510) 482-5344
- Fax
- (510) 531-0915
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- 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 | PSY12735 | CA | Primary |
Addresses
Primary practice location
1305 Franklin St Ste 509
Oakland, CA 94612-3224
Mailing address
4100 Redwood Rd Ste 10
#126
Oakland, CA 94619-2363
Phone (510) 482-5344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040828000255 | CA | Practitioner - Clinical Psychologist | 5092780510 | Practice locations: Oakland, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1305 Franklin St
Suite 502
Oakland, CA 94612-3224
Phone (510) 482-5344
3630 High St
Unit 18522
Oakland, CA 94619-6002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12735 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1437180692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 REDWOOD RD STE 10",
"address_2": "#126",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946192363",
"telephone_number": "510-482-5344",
"fax_number": "510-531-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 FRANKLIN ST STE 509",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123224",
"telephone_number": "510-482-5344",
"fax_number": "510-531-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "ELIZABETH",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY12735",
"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 Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.