Tide Pools a Psychological Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

TIDE POOLS A PSYCHOLOGICAL CORPORATION

Practice address

5299 College Ave
Oakland, CA 94618-2808

Phone

(510) 423-8473

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Morsa, PSYDNPI 1306252564

Title

Ceo

Phone

(510) 423-8473

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Benjamin Alex Morsa

  • Clinical Psychologist
  • Oakland, CA
  • NPI 1306252564
  NPD Authorized official

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1861188567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5299 COLLEGE AVE STE C8",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182809",
            "telephone_number": "510-423-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5299 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946182808",
            "telephone_number": "510-423-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDE POOLS A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "MORSA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-423-8473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa-Nicole Tiambeng
• Hamid Tiamiyu
• David Cong Tian, M.D.
• Aura Liseth Tibayan
• Jessica Tice, DPT
• Jenna Tidwell
• Susan Tieger, MFT
• Annie Tien
• Carolyn Tiernan, MD
• Cassidy Elizabeth Tierney

• Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.