Active NPI
Victoria Coad, PHD
- Clinical Psychologist
- PT Richmond, CA
National Provider Identifier
1467457168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY12891
- Practice address
- 125 W Richmond Ave
PT Richmond, CA 94801-3950 - Phone
- (510) 233-1992
- NPI assigned
- Jun 17, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 | PSY12891 | CA | Primary |
Addresses
Primary practice location
125 W Richmond Ave
PT Richmond, CA 94801-3950
Mailing address
125 W Richmond Ave
PT Richmond, CA 94801-3950
Phone (510) 233-1992
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 |
|---|---|---|---|---|
| I20050616001190 | CA | Practitioner - Clinical Psychologist | 4880638154 | Practice locations: PT Richmond, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467457168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W RICHMOND AVE",
"city": "PT RICHMOND",
"state": "CA",
"postal_code": "948013950",
"telephone_number": "510-233-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W RICHMOND AVE",
"city": "PT RICHMOND",
"state": "CA",
"postal_code": "948013950",
"telephone_number": "510-233-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAD",
"first_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY12891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in PT Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.