NPIMap

Organization Active NPI

Bay Area Ocd and Anxiety Psychology Clinic, a Professional Corporation

  • Cognitive & Behavioral Psychologist
  • Orinda, CA
National Provider Identifier
1639548381
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PSY24451 Issued in CA
Legal business name
BAY AREA OCD AND ANXIETY PSYCHOLOGY CLINIC, A PROFESSIONAL CORPORATION
Practice address
37 Avenida de Orinda
Orinda, CA 94563-2305
Phone
(510) 992-4037
Fax
(510) 992-4037
NPI assigned
Sep 23, 2015
Last updated
Sep 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Dr. Amy Elizabeth Jenks, PSY.D.NPI 1740442938
Title
Director
Phone
(510) 992-4037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY24451 CA Primary
Behavior Analyst 103K00000X 1-11-9431 CA

Addresses

Primary practice location

37 Avenida de Orinda
Orinda, CA 94563-2305

Mailing address

37 Avenida de Orinda
Orinda, CA 94563-2305
Phone (510) 992-4037

National Provider Directory

National Provider Directory

Locations

37 Avenida de Orinda
Orinda, CA 94563
Phone (510) 363-6337

Practitioners & affiliated clinicians

Practitioners 1

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": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1639548381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 AVENIDA DE ORINDA",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632305",
            "telephone_number": "510-992-4037",
            "fax_number": "510-992-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 AVENIDA DE ORINDA",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632305",
            "telephone_number": "510-992-4037",
            "fax_number": "510-992-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA OCD AND ANXIETY PSYCHOLOGY CLINIC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "JENKS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-992-4037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY24451",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-11-9431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.