Brooke C Zanoli, PSYD
Individual provider Active NPI Clinical Psychologist · Berkeley, CA
NPI 1861825713 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1861825713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY33997 (CA)
- Practice address
- 2001 Dwight Way
Berkeley, CA 94704-2608 - Phone
- (801) 243-0193
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY33997 | CA | MD | Clinical Psychologist |
| 023796 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Psychologist | 103TC0700X | 023796 | NY | |
| Clinical Psychologist | 103TC0700X | PSY33997 | CA | Yes |
Addresses
Primary practice location
2001 Dwight Way
Berkeley, CA 94704-2608
Mailing address
2721 Best Ave
Oakland, CA 94619-3203
Phone (510) 841-9230
Other practice location 1
1515 Market Ave
San Pablo, CA 94806-4357
Phone (510) 232-7571
Other names
- Dr. Brooke C Harrison
Other providers in Berkeley, CA
- Aysha Zahra Zaman
- Kaya Zamil
- Orly Zamir
- Katja Susanne Zamrik
- Tina Zanganeh
- Shafai Marriam Zarabi
- Nataly Zaragoza
- Heidi Marie Zeichick
- Lelyanne Zeidan
- Robert Bruce Zeiger
All providers in Berkeley, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.