Active NPI
Lauren Chickneas, PH.D.
- Clinical Psychologist
- Berkeley, CA
National Provider Identifier
1841633773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY25634
- Practice address
- 2000 Hearst Ave
Suite 207
Berkeley, CA 94709-2130 - Phone
- (510) 495-0779
- NPI assigned
- Apr 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY25634 | CA | Primary |
Addresses
Primary practice location
2000 Hearst Ave
Suite 207
Berkeley, CA 94709-2130
Mailing address
2000 Hearst Ave
Suite 207
Berkeley, CA 94709-2130
Phone (510) 495-0779
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25634 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446854400000",
"number": "1841633773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HEARST AVE",
"address_2": "SUITE 207",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947092130",
"telephone_number": "510-495-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HEARST AVE",
"address_2": "SUITE 207",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947092130",
"telephone_number": "510-495-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICKNEAS",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-10",
"last_updated": "2015-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY25634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
- Shirley CHI, M.D.
- Maria Ellen Chiaia, PH.D.
- Chialin Tsao, M.D., Inc., a Professional Corporation
- Lillian Chiang, PH.D.
- Brandon Chiapuzio, LCSW
- Florence Hoi-Ling Chien, RN, CNM, WHNP-BC
- Harjas Chilana, MSO, OTD, OTR/L
- Child Therapy Institute of Marin
- Child Therapy Institute of Marin
- Children First Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.