Individual provider Active NPI

Alison Urdan, M.A.

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1487783791
Registry record updated May 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
MFC39537 Issued in CA
Practice address
5737 Thornhill Dr
Oakland, CA 94611-2144
Phone
(510) 587-3231
Fax
(510) 587-3231
NPI assigned
Mar 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X MFC39537 CA Primary

Addresses

Primary practice location

5737 Thornhill Dr
Oakland, CA 94611-2144

Mailing address

614 Santa Clara Ave
Alameda, CA 94501-3316
Phone (510) 649-9320

Other practice location 1

395 Taylor Blvd Ste 115
Pleasant Hill, CA 94523-2298
Phone (510) 587-3231

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

LicenseStateTypeSpecialty
MFC39537CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1487783791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 SANTA CLARA AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013316",
            "telephone_number": "510-649-9320",
            "fax_number": "510-521-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 THORNHILL DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112144",
            "telephone_number": "510-587-3231",
            "fax_number": "510-587-3231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Taylor Blvd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "CA",
            "postal_code": "945232298",
            "country_code": "US",
            "telephone_number": "510-587-3231",
            "fax_number": "510-263-8357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URDAN",
        "first_name": "ALISON",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "MFC39537",
            "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 26, 2019; 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.