Individual provider Active NPI

Peggy Sue Huber, PSY.D.

  • Psychologist
  • Alameda, CA
National Provider Identifier
1700312667
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35923 Issued in CA
Practice address
2325 Clement Ave Ste a
Alameda, CA 94501-7061
Phone
(510) 326-2622
Fax
(510) 306-1062
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35923 CA Primary

Addresses

Primary practice location

2325 Clement Ave Ste a
Alameda, CA 94501-7061

Mailing address

2325 Clement Ave Ste a
Alameda, CA 94501-7061
Phone (510) 326-2622

Other practice location 1

1550 Treat Ave
San Francisco, CA 94110-5234
Phone (925) 878-1422

Other practice location 2

1561 Pleasant Hill Rd
Lafayette, CA 94549-2216
Phone (925) 878-1422

Other practice location 3

2425 Bisso Ln Ste 200
Concord, CA 94520-4886
Phone (925) 521-5706

Other identifiers 1

IdentifierTypeStateIssuer
8121MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35923CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1700312667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 CLEMENT AVE STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945017061",
            "telephone_number": "510-326-2622",
            "fax_number": "510-306-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CLEMENT AVE STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945017061",
            "telephone_number": "510-326-2622",
            "fax_number": "510-306-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Treat Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941105234",
            "country_code": "US",
            "telephone_number": "925-878-1422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1561 Pleasant Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CA",
            "postal_code": "945492216",
            "country_code": "US",
            "telephone_number": "925-878-1422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2425 Bisso Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945204886",
            "country_code": "US",
            "telephone_number": "925-521-5706",
            "fax_number": "925-646-5662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBER",
        "first_name": "PEGGY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "35923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8121",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.