Spectrum Practice of Berkeley, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21262 Issued in CA

Legal business name

SPECTRUM PRACTICE OF BERKELEY, INC.

Practice address

2140 Shattuck Avenue
Suite 511
Berkeley, CA 94704

Phone

(510) 841-1100

Fax

(510) 841-1101

NPI assigned

Jun 23, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jean Chance Franco, PHD

Title

Director

Phone

(510) 841-1100

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1447770102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 SHATTUCK AVENUE",
            "address_2": "SUITE 511",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "510-841-1100",
            "fax_number": "510-841-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 SHATTUCK AVENUE",
            "address_2": "SUITE 511",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "510-841-1100",
            "fax_number": "510-841-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PRACTICE OF BERKELEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "CHANCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-841-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21262",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT93739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eitan Spanier
• Karla Spaulding
• Janelle M. Spear, AU.D.
• Mark Spear, DPT
• Amy Specter, MFT
• Diane Maria Schneider Speechley
• Rebecca Spence, CPNP
• Emmy A Spencer
• Mary Spencer, RN, PHN
• Stephen Martin Sperber, LMFT

• Clinical Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.