Organization Active NPI

Adrian Willey PH.D.

  • Community/Behavioral Health Agency
  • Oakland, CA
National Provider Identifier
1881060986
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY27079 Issued in CA
Legal business name
ADRIAN WILLEY PH.D.
Practice address
3223 Lakeshore Ave
Oakland, CA 94610-2719
Phone
(510) 485-1988
NPI assigned
Aug 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Dr. Adrian Lloyd Willey, PH.D.
Title
Clinical Psychologist
Phone
(510) 485-1988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY27079 CA Primary

Addresses

Primary practice location

3223 Lakeshore Ave
Oakland, CA 94610-2719

Mailing address

3223 Lakeshore Ave
Oakland, CA 94610-2719
Phone (510) 485-1988

National Provider Directory

National Provider Directory

Locations

3223 Lakeshore Ave
Oakland, CA 94610
Phone (510) 419-0999

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1881060986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 LAKESHORE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102719",
            "telephone_number": "510-485-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 LAKESHORE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102719",
            "telephone_number": "510-485-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN WILLEY PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "WILLEY",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "510-485-1988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY27079",
            "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 Aug 12, 2015; 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.