Individual provider Active NPI

Marlene Maria Crespo, PSY D

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1659579746
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22132 Issued in CA
Practice address
312 Clay St Ste 150
Oakland, CA 94607-3510
Phone
(510) 428-8411
NPI assigned
Jul 10, 2007
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 22132 CA Primary

Addresses

Primary practice location

312 Clay St Ste 150
Oakland, CA 94607-3510

Mailing address

747 52ND St
Oakland, CA 94609-1809
Phone (510) 428-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22132CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Feb 10, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 10, 2025 Accepting new patients
UCSF Psychiatry CurrentSince Feb 10, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 10, 2025 Accepting new patients
University of California San Francisco CurrentSince Feb 10, 2025 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

312 Clay St
Oakland, CA 94607
Phone (510) 428-8407

312 Clay St
Ste 150
Oakland, CA 94607
Phone (510) 428-3408

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

Organizations & group practices 6

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1659579746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CLAY ST STE 150",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073510",
            "telephone_number": "510-428-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO",
        "first_name": "MARLENE",
        "middle_name": "MARIA",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.