Organization Active NPI

Peter Oppermann PHD Psychology Prof. Corp.

  • Clinical Psychologist
  • Concord, CA
National Provider Identifier
1881182905
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY12395 Issued in CA
Legal business name
PETER OPPERMANN PHD PSYCHOLOGY PROF. CORP.
Practice address
2700 Laguna Cir Apt a
Concord, CA 94520-2991
Phone
(925) 878-5288
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Peter Oppermann, PHD
Title
Provider/President
Phone
(925) 878-5288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY12395 CA Primary

Addresses

Primary practice location

2700 Laguna Cir Apt a
Concord, CA 94520-2991

Mailing address

2700 Laguna Cir Apt a
Concord, CA 94520-2991
Phone (925) 878-5288

National Provider Directory

National Provider Directory

Locations

465 34th St
Oakland, CA 94609
Phone (510) 287-9456

859 Washington St
Red Bluff, CA 96080

1910 Olympic Blvd
Ste 330
Walnut Creek, CA 94596
Phone (925) 878-5288

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1881182905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LAGUNA CIR APT A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202991",
            "telephone_number": "925-878-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LAGUNA CIR APT A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202991",
            "telephone_number": "925-878-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER OPPERMANN PHD PSYCHOLOGY PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "OPPERMANN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PROVIDER/PRESIDENT",
        "authorized_official_telephone_number": "925-878-5288",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.