Organization Active NPI

Paul S.D. Berg, PH.D. & Associates

  • Psychologist
  • Oakland, CA
National Provider Identifier
1871825075
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY2811 Issued in CA
Legal business name
PAUL S.D. BERG, PH.D. & ASSOCIATES
Practice address
389 30TH St
Suite 101
Oakland, CA 94609-3402
Phone
(510) 893-3413
Fax
(510) 893-3435
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Dr. Paul S D Berg, PH.D.
Title
Psychologist
Phone
(510) 893-3413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PSY2811 CA Primary

Addresses

Primary practice location

389 30TH St
Suite 101
Oakland, CA 94609-3402

Mailing address

389 30TH St
Suite 101
Oakland, CA 94609-3402
Phone (510) 893-3413

National Provider Directory

National Provider Directory

Locations

389 30th St
#101
Oakland, CA 94609
Phone (510) 893-3413

389 30th St
Ste 101
Oakland, CA 94609
Phone (510) 893-3413

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1871825075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 30TH ST",
            "address_2": "SUITE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093402",
            "telephone_number": "510-893-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 30TH ST",
            "address_2": "SUITE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093402",
            "telephone_number": "510-893-3413",
            "fax_number": "510-893-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S.D. BERG, PH.D. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S D",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "510-893-3413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY2811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 12, 2010; 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.