Active NPI
Kathleen Marie Wilkinson, MA
- Behavior Technician
- Oakland, CA
National Provider Identifier
1477038339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 103K00000X
- Practice address
- 180 Grand Ave FL 2
Oakland, CA 94612-3741 - Phone
- (415) 699-5983
- NPI assigned
- Sep 26, 2018
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 103K00000X | CA | Primary |
Addresses
Primary practice location
180 Grand Ave FL 2
Oakland, CA 94612-3741
Mailing address
1121 Euclid Ave
Berkeley, CA 94708-1602
Phone (415) 699-5983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103K00000X | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1477038339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 EUCLID AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947081602",
"telephone_number": "415-699-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 GRAND AVE FL 2",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123741",
"telephone_number": "415-699-5983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "103K00000X",
"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 Sep 26, 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.