Family Spring Psychology, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FAMILY SPRING PSYCHOLOGY, P.C.

Practice address

2615 Ashby Ave Ste 1
Berkeley, CA 94705-2200

Phone

(510) 470-5777

NPI assigned

Jul 10, 2019

Organization subpart

No

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

Authorized official

Name

Samuel Himelstein, PHDNPI 1265749790

Title

Ceo

Phone

(510) 470-5777

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Himelstein, PH.D.

  • Clinical Psychologist
  • Oakland, CA
  • NPI 1265749790
  Medicare reassignment Authorized official
• Shanna Maureen Fleming, MFT

  • Marriage & Family Therapist
  • Petaluma, CA
  • NPI 1598938771
  Medicare reassignment NPD

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1699327692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 ASHBY AVE STE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052200",
            "telephone_number": "510-470-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ASHBY AVE STE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052200",
            "telephone_number": "510-470-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SPRING PSYCHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "HIMELSTEIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-470-5777",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Fallahi, D.C.
• Ruth Fallenbaum, PHD
• Michelle Eileen Fallier, PT, DPPT
• Family Planning Associates Medical Group Inc
• Family Planning Associates Medical Group Inc
• Famous Foam
• Rowena A Faner, RN
• Johnny Fang
• Dale Edward Fanning, LAC
• Sage Fanucchi-Funes, CNM

• Clinical Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.