Mindy Werner-Crohn, M.D., Inc,

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MINDY WERNER-CROHN, M.D., INC,

Practice address

2199 Manzanita Drive
Oakland, CA 94611

Phone

(415) 686-6847

NPI assigned

Oct 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joel Crohn, PH.D.NPI 1902138605

Title

Ceo

Phone

(415) 686-6847

Specialties & licenses 5

Addresses

Other names 1

• Blue Sky Psychiatry Doing business as

Locations

Practitioners 4

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

• Joel Crohn, PH.D.

  • Psychologist
  • Berkeley, CA
  • NPI 1902138605
  NPD Authorized official
• Blake Brisbois, PSYD

  • Clinical Psychologist
  • Westlake VLG, CA
  • NPI 1669826723
  NPD (past)
• Priya Sanjana Parmar, MD

  • Psychiatry Physician
  • Westlake Village, CA
  • NPI 1316240369
  NPD (past)
• Sarah Randall, PSY.D.

  • Clinical Psychologist
  • Calabasas, CA
  • NPI 1780725507
  NPD (past)

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1871844787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 DOMINGO AVE # 218",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052454",
            "telephone_number": "415-686-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 MANZANITA DRIVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "415-686-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY WERNER-CROHN, M.D., INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "CROHN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-686-6847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sky Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Sky Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tobia Jeanette Minckler, MS
• Mind, Body, and Soul Therapy LLC
• Mindful Birthing and Parenting Foundation
• Mindful Speech-Language Therapy, Inc.
• Mindhealth, a Professional Psychology Corporation
• Jennifer Louise Miner
• Robert E Mines Jr., M.D.
• Aubry Mingming
• Michal Mingura, PHARMD
• Jennifer Minn, CPNP-PC

• 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 May 14, 2024; 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.