Active NPI
Siobhan Hart
- Psychologist
- Berkeley, CA
National Provider Identifier
1861700213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY27077
- Practice address
- 2198 6TH St
Ste. 100
Berkeley, CA 94710-2233 - Phone
- (510) 848-1112
- Fax
- (510) 848-4445
- NPI assigned
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY27077 | CA | Primary |
Addresses
Primary practice location
2198 6TH St
Ste. 100
Berkeley, CA 94710-2233
Mailing address
PO Box 1793
Alameda, CA 94501-0205
Phone (415) 857-2504
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27077 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1861700213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1793",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945010205",
"telephone_number": "415-857-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2198 6TH ST",
"address_2": "STE. 100",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947102233",
"telephone_number": "510-848-1112",
"fax_number": "510-848-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "SIOBHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY27077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.