Active NPI
Alexa Capone, PSYD
- Psychologist
- Oakland, CA
National Provider Identifier
1902463144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 33610
- Practice address
- 301 12TH St
Oakland, CA 94607-4217 - Phone
- (510) 269-9030
- NPI assigned
- May 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 33610 | CA | Primary |
Addresses
Primary practice location
301 12TH St
Oakland, CA 94607-4217
Mailing address
1225 N Wells St Apt 607
Chicago, IL 60610-2548
Phone (443) 474-4583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33610 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1902463144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 N WELLS ST APT 607",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606102548",
"telephone_number": "443-474-4583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 12TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074217",
"telephone_number": "510-269-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPONE",
"first_name": "ALEXA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-23",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "33610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
- Capitol Business Development Inc. (Health Care Dual Diagnosis Program II)
- Allison Nuovo Capizzi, M.D.
- Arianna Katia Caplan, L.C.S.W, M.P.H.
- Jill Hearne Caplan, MSW
- Meredith Leigh Caplin, LCSW
- Marianna Caponigro, MD
- Sarah Cappelli, LMFT
- John Capuchino
- Heather Lynn Caputo, M.D.
- Eva Maria Caraher, MS, BCBA, PPS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.