Big Dog Counseling, Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY24459 Issued in CA

Legal business name

BIG DOG COUNSELING, INC.

Practice address

1683 Novato Blvd
Suite 1B
Novato, CA 94947-3200

Phone

(510) 427-7785

Fax

(510) 625-0662

NPI assigned

Jul 7, 2015

Last updated

Aug 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Louisa Parks, PSY.D.

Title

President

Phone

(510) 427-7785

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 2

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.

• Mark Douglas Kamena, PH.D.

  • Clinical Psychologist
  • Novato, CA
  • NPI 1912924440

  Clinical Neuropsychologist

  NPD (past)
• Jill Nicole Peeler

  • Marriage & Family Therapist
  • Novato, CA
  • NPI 1770064800
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1629451703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CREED RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101826",
            "telephone_number": "510-427-7785",
            "fax_number": "510-625-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 NOVATO BLVD",
            "address_2": "SUITE 1B",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473200",
            "telephone_number": "510-427-7785",
            "fax_number": "510-625-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG DOG COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-427-7785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY24459",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24459",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FX694A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF PSYCHOLOGY LICENSE NUMBER",
            "identifier": "PSY24459",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UIN",
            "identifier": "816671",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Berlant, M.D.
• Francisco Javier Bernal
• Marc Bernstein, HA2988
• Aditi Bhagat, MD
• Ellen Biera, RCT, RRT, RCP
• Birk Holdings, LLC (ComForCare Home Care -Marin)
• Joleen D Bishop, N.P.
• Blessed at Home Care Agency LLC
• Richard Bodony, MD
• Raymond M Bonneau, MD

• Clinical Neuropsychologist in Novato, CA
• Providers in Novato, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.