Active NPI
Samuel C Hinds, MA
- Psychologist
- Berkeley, CA
National Provider Identifier
1508362047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 36352
- Practice address
- 2185 Ashby Ave
Berkeley, CA 94705-1835 - Phone
- (510) 880-1964
- NPI assigned
- Apr 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 36352 | CA | Primary |
Addresses
Primary practice location
2185 Ashby Ave
Berkeley, CA 94705-1835
Mailing address
1515 Olympus Ave
Berkeley, CA 94708-2209
Phone (707) 570-5981
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36352 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Institute for Psychotherapy | Past | Accepting new patients | |
| Community Institute for Psychotherapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Voluntary or Charitable Agency
- San Rafael, CA
- NPI 1760403794
-
- Community/Behavioral Health Agency
- San Rafael, CA
- NPI 1780995258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1508362047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 OLYMPUS AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947082209",
"telephone_number": "707-570-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 ASHBY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051835",
"telephone_number": "510-880-1964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINDS",
"first_name": "SAMUEL",
"middle_name": "C",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-03",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "CA",
"license": "36352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.