Pathfinder Psychological Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PSY28843 Issued in CA

Legal business name

PATHFINDER PSYCHOLOGICAL SERVICES, INC.

Practice address

600 Grand Ave # 301
Oakland, CA 94610-3548

Phone

(510) 698-9311

NPI assigned

Jun 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Thomas, PSYDNPI 1194913327

Title

Chief Executive Officer

Phone

(510) 698-9311

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Courtney James Thomas, PSYD

  • Psychologist
  • Oakland, CA
  • NPI 1194913327
  NPD Authorized official

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530316800000",
    "number": "1447745542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 ETTIE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084016",
            "telephone_number": "510-698-9311",
            "fax_number": "510-373-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRAND AVE # 301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103548",
            "telephone_number": "510-698-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-30",
        "last_updated": "2018-06-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-698-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "PSY28843",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY28843",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "PSY28843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sima Patel, MD
• Sita Gillett Patel, PH.D.
• Devbhavan Pateriya
• Akash Pathak, MD
• Riya Atul Pathare, DO
• Nisha Patil, MD
• Daniela Patino Mota
• Christina Patino
• Jose Alfonso Patino, D.D.S.
• Leslee Joleen Patino

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oakland, CA
• Providers in Oakland, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2018; 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.