Confidence Club Psychology Services, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CONFIDENCE CLUB PSYCHOLOGY SERVICES, INC.

Practice address

55 Santa Clara Ave Ste 177
Oakland, CA 94610-1333

Phone

(510) 255-5141

NPI assigned

Aug 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Katya EkmanNPI 1386043040

Title

Ceo

Phone

(510) 255-5141

Specialties & licenses 1

Addresses

Other names 1

• Confidence Club Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katya Ekman

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
  • NPI 1386043040
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1447082102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE STE 177",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE STE 177",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101333",
            "telephone_number": "510-255-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENCE CLUB PSYCHOLOGY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "EKMAN",
        "authorized_official_first_name": "KATYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-255-5141",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Confidence Club",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Reena Jaituni Concepcion, MD
• Sadie Concepcion
• Sandra P. Conde, M.A.
• Kira Ruth Condey, OTR/L
• Laura M Condylis, PSYD
• Lamont Conley
• Tiny Veronica Conn
• Trinity Colleen Connaughton
• Connect Hearing, Inc.
• Connection Clinic

• Adolescent and Children Mental Health Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.

Verify at the official NPI Registry.