Walnut Creek CBT Clinic

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

26269 Issued in CA

Legal business name

WALNUT CREEK CBT CLINIC

Practice address

1670 S Amphlett Blvd
Suite 225
San Mateo, CA 94402-2510

Phone

(650) 532-3666

NPI assigned

Dec 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jonah Lakin, PSYD

Title

Clinical Director

Phone

(650) 532-3666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1881069086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD",
            "address_2": "SUITE 225",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022510",
            "telephone_number": "650-532-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD",
            "address_2": "SUITE 225",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022510",
            "telephone_number": "650-532-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT CREEK CBT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "LAKIN",
        "authorized_official_first_name": "JONAH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "650-532-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medea Walker
• Samantha Walker
• Stephen Walker
• Valentino Walker, LCSW
• Breanna Julia Wallace
• Kristen Walsh, PA-C
• Lisa Walsh, DC
• Aaron Walter
• Kalie Marie Walton
• Jennifer Jen-Wei Wan, MD

• Clinical Psychologist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.