Live Oak Psychological Services, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIVE OAK PSYCHOLOGICAL SERVICES, PC

Practice address

2020 Milvia St Ste 450
Berkeley, CA 94704-1297

Phone

(510) 214-2110

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Susan Ryan, PSYDNPI 1326523044

Title

President

Phone

(510) 214-2110

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Susan Ryan, MA

  • Clinical Psychologist
  • Berkeley, CA
  • NPI 1326523044

  CA, Clinical

  Medicare reassignment NPD Authorized official
• Jonathan David Vasquez

  • Psychologist
  • Berkeley, CA
  • NPI 1669208880
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1891558433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TAMALPAIS RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947081948",
            "telephone_number": "510-872-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 MILVIA ST STE 450",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041297",
            "telephone_number": "510-214-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-214-2110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1326523044",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Y Liu, MD
• Vivian Sheralyn Liu
• Wendy Liu
• Xiaoyuan Liu, MD
• Yongcong Liu, L.AC
• Carol Livingston, MD
• Shirley Livingston, D.D.S.
• Louiza Livshits, PSYD
• Colleen Marie Lix, PSY.D.
• Dean Lobovits, M.F.T.

• Clinical Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.