NPIMap

Organization Active NPI

Jenner Bishop Inc.

Doing business as Foundry Clinical Group Northern California

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1508429804
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JENNER BISHOP INC.
Doing business as
Foundry Clinical Group Northern California
Practice address
2938 Webster St Ste 200
Oakland, CA 94609-3407
Phone
(510) 463-4051
Fax
(844) 848-7556
NPI assigned
Apr 22, 2019
Last updated
Apr 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Jenner Bishop, LMFTNPI 1346875200
Title
President/Clinical Director
Phone
(510) 463-4051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2938 Webster St Ste 200
Oakland, CA 94609-3407

Mailing address

2938 Webster St Ste 200
Oakland, CA 94609-3407
Phone (510) 463-4051

Other names 1

  • Foundry Clinical Group Northern California Doing business as

National Provider Directory

National Provider Directory

Locations

2938 Webster St
Ste 200
Oakland, CA 94609
Phone (510) 463-4051

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1508429804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2938 WEBSTER ST STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093407",
            "telephone_number": "510-463-4051",
            "fax_number": "844-848-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 WEBSTER ST STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093407",
            "telephone_number": "510-463-4051",
            "fax_number": "844-848-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNER BISHOP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JENNER",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "510-463-4051",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundry Clinical Group Northern California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 22, 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.