Active NPI
Kristina Elizabeth Whitney, PH.D.
- Clinical Psychologist
- Oakland, CA
National Provider Identifier
1477745693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY16999
- Practice address
- 5313 College Ave
Oakland, CA 94618-1416 - Phone
- (510) 658-8052
- Fax
- (510) 658-5675
- NPI assigned
- Aug 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY16999 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY16999 | CA |
Addresses
Primary practice location
5313 College Ave
Oakland, CA 94618-1416
Mailing address
5313 College Ave
Oakland, CA 94618-1416
Phone (510) 658-8052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 9, 2024 through May 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16999 | CA | MD | Clinical Child & Adolescent Psychologist |
| 16999 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186790400000",
"number": "1477745693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5313 COLLEGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181416",
"telephone_number": "510-658-8052",
"fax_number": "510-658-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5313 COLLEGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181416",
"telephone_number": "510-658-8052",
"fax_number": "510-658-5675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "KRISTINA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-11",
"last_updated": "2007-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY16999",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY16999",
"primary": false
}
],
"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 Aug 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.