Individual provider Active NPI

Stanley Markowski, PSY.D.

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1578883872
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27924 Issued in CA
Practice address
5309 College Ave
Oakland, CA 94618-1416
Phone
(510) 452-0833
Fax
(510) 596-9030
NPI assigned
Jun 9, 2010
Last updated
Jan 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY27924 CA Primary
Clinical Child & Adolescent Psychologist 103TC2200X PSY27924 CA

Addresses

Primary practice location

5309 College Ave
Oakland, CA 94618-1416

Mailing address

5309 College Ave
Oakland, CA 94618-1416
Phone (510) 452-0833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929001709 CA Practitioner - Clinical Psychologist 2961821715 Reassigns benefits to 1 organization
Practice locations: Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5480 College Ave
Oakland, CA 94618-1552
Phone (510) 452-0833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY27924CAMDClinical Child & Adolescent Psychologist
27924CAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stan Markowski Psychology Corp Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

5309 College Ave
Oakland, CA 94618
Phone (510) 428-0692

5480 College Ave
Oakland, CA 94618
Phone (510) 420-1749

5480 College Ave
Ste 4
Oakland, CA 94618

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1578883872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181416",
            "telephone_number": "510-452-0833",
            "fax_number": "510-596-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181416",
            "telephone_number": "510-452-0833",
            "fax_number": "510-596-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOWSKI",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27924",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY27924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.