Active NPI
Paul S.D. Berg, PH.D. & Associates
- Psychologist
- Oakland, CA
National Provider Identifier
1871825075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY2811
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryLocations
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.