Organization Active NPI

Innerspace Psychiatry PC

Doing business as Innerspace Psychiatry

  • Psychiatry Physician
  • Oakland, CA
National Provider Identifier
1821880212
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INNERSPACE PSYCHIATRY PC
Doing business as
Innerspace Psychiatry
Practice address
55 Santa Clara Ave Ste 171
Oakland, CA 94610-1333
Phone
(510) 541-2323
Fax
(510) 907-7966
NPI assigned
May 21, 2025
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Dr. John Gillean, MDNPI 1528378460
Title
Psychiatrist, Owner
Phone
(510) 541-2323

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

55 Santa Clara Ave Ste 171
Oakland, CA 94610-1333

Mailing address

55 Santa Clara Ave Ste 171
Oakland, CA 94610-1333
Phone (510) 541-2323

Other names 1

  • Innerspace Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

55 Santa Clara Ave
Ste 171
Oakland, CA 94610
Phone (510) 438-3711

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": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1821880212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE STE 171",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101333",
            "telephone_number": "510-541-2323",
            "fax_number": "510-907-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SANTA CLARA AVE STE 171",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101333",
            "telephone_number": "510-541-2323",
            "fax_number": "510-907-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERSPACE PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "GILLEAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PSYCHIATRIST, OWNER",
        "authorized_official_telephone_number": "510-541-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innerspace Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.