Individual provider Active NPI

Barbara Ivins, PH.D.

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1700083128
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10343 Issued in CA
Practice address
312 Clay St Ste 150
Oakland, CA 94607-3510
Phone
(510) 428-8402
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 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 PSY10343 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) 428-8402

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
I20250429002325 CA Practitioner - Clinical Psychologist 0648796060 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY10343CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Apr 18, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 18, 2025 Accepting new patients
UCSF Psychiatry CurrentSince Apr 18, 2025 Accepting new patients
University of California San Francisco CurrentSince Apr 18, 2025 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Apr 18, 2025 Accepting new patients

Locations

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

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

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

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

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

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

401 Parnassus Ave
#984
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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1700083128",
    "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": "510-428-8402"
        },
        {
            "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": "510-428-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVINS",
        "first_name": "BARBARA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.