Guy Albert, PH.D.

Individual provider Active NPI Psychoanalysis Psychologist · Berkeley, CA

NPI 1912073529 · NPPES record last updated Mar 18, 2022

Key facts

NPI
1912073529
Entity type
Individual (NPI type 1)
Primary specialty
Psychoanalysis Psychologist 103TP0814X
License
PSY20961 (CA)
Practice address
3120 Telegraph Ave Ste 4
Berkeley, CA 94705-1964
Phone
(510) 496-3447
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY20961 CA
Psychoanalysis Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103TP0814X PSY20961 CA Yes

Addresses

Primary practice location

3120 Telegraph Ave Ste 4
Berkeley, CA 94705-1964

Mailing address

1918 Bonita Ave Ste 203
Berkeley, CA 94704-1014
Phone (510) 496-3447

Other identifiers

IdentifierTypeStateIssuer
0PL209610OtherCAMEDICARE PPIN

Other providers in Berkeley, CA

All providers in Berkeley, CA · Psychoanalysis Psychologist in California

Sources for this page

Verify at the official NPI Registry.