Active NPI
Amrita Mehta, PHD
- Clinical Psychologist
- Oakland, CA
National Provider Identifier
1477073062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY29199
- Practice address
- 401 Grand Ave Ste 380
Oakland, CA 94610-5054 - Phone
- (510) 394-2240
- Fax
- (510) 380-2558
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY29199 | CA | |
| Psychologist | 103T00000X | PSY29199 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY29199 | CA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Clinical Psychologist | 103TC0700X | PSY29199 | CA | Primary |
Addresses
Primary practice location
401 Grand Ave Ste 380
Oakland, CA 94610-5054
Mailing address
3 Commodore Dr # B261
Emeryville, CA 94608-1646
Phone (510) 394-2240
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29199 | CA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savera Psychological Services PC | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
401 Grand Ave
Ste 380
Oakland, CA 94610
Phone (310) 435-2458
804 Pier View Way
Ste 206
Oceanside, CA 92054
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Oakland, CA
- NPI 1619599974
Clinical Neuropsychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588982400000",
"number": "1477073062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 COMMODORE DR # B261",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081646",
"telephone_number": "510-394-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 GRAND AVE STE 380",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946105054",
"telephone_number": "510-394-2240",
"fax_number": "510-380-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "AMRITA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2020-05-09",
"certification_date": "2020-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY29199",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY29199",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY29199",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY29199",
"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 May 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.