Individual provider Active NPI

Steven W. Flannes, PH.D. CLINICAL PSYCH

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1881785145
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7139 Issued in CA
Practice address
1980 Mountain Blvd, Suite 201
Oakland, CA 94611
Phone
(510) 421-3981
Fax
(510) 654-9319
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY7139 CA
Clinical Psychologist 103TC0700X PSY7139 CA Primary

Addresses

Primary practice location

1980 Mountain Blvd, Suite 201
Oakland, CA 94611

Mailing address

6114 La Salle Ave #473
Oakland, CA 94611
Phone (510) 421-3981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090611000179 CA Practitioner - Clinical Psychologist 4789734864 Practice locations: Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5305 College Ave
Oakland, CA 94618-1416
Phone (510) 339-7095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY7139CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Gildersleeve, Psychology, a Professional Corporation Clinical CurrentSince Mar 11, 2025 Accepting new patients

Locations

1980 Mountain Blvd
Ste 201
Oakland, CA 94611
Phone (510) 339-2333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1881785145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 LA SALLE AVE #473",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "510-421-3981",
            "fax_number": "510-654-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 MOUNTAIN BLVD, SUITE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "510-421-3981",
            "fax_number": "510-654-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNES",
        "first_name": "STEVEN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "PH.D. CLINICAL PSYCH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY7139",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.