Jessica George-Caballero, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

2633 E 27TH St
Oakland, CA 94601-1912

Phone

(510) 535-5115

Fax

(510) 535-5131

NPI assigned

Aug 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1477785152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 E 2ND ST",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103250",
            "telephone_number": "408-691-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 E 27TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011912",
            "telephone_number": "510-535-5115",
            "fax_number": "510-535-5131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 16th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121515",
            "country_code": "US",
            "telephone_number": "510-844-9731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Benicia",
            "state": "CA",
            "postal_code": "945103250",
            "country_code": "US",
            "telephone_number": "408-691-8196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE-CABALLERO",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1301 Roman Wy.",
            "city": "Martinez",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breanna Tarufelli Gentile, M.A.
• Brianna Gentile, MS, MPH, CGC
• Tanya Gentry
• Yvette Marcella Gentry, M.D.
• Nelida Geonetta, PH.D.
• Nicole George-O'Brien, LMFT
• Jannel George-Oden
• Bashari George
• Stacy Donovan George, M.A., LMFT
• Daniela Kira Georges, DPT

• Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.