Active NPI
Michael C Jones, PSB94029649
- Clinical Psychologist
- Oakland, CA
National Provider Identifier
1487381646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB94029649
- Practice address
- 410 12TH St Ste 325
Oakland, CA 94607-4489 - Phone
- (510) 338-3325
- NPI assigned
- Aug 6, 2022
- Sex
- Male
- 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 | PSB94029649 | CA | Primary |
Addresses
Primary practice location
410 12TH St Ste 325
Oakland, CA 94607-4489
Mailing address
52 Skyway LN
Oakland, CA 94619-3628
Phone (949) 412-2965
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1487381646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 SKYWAY LN",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946193628",
"telephone_number": "949-412-2965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 12TH ST STE 325",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074489",
"telephone_number": "510-338-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MICHAEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PSB94029649",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-06",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB94029649",
"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 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.