Organization Active NPI

Home Base: Parenting Fundamentals

  • Family Psychologist
  • Oakland, CA
National Provider Identifier
1932565207
Registry record updated Jan 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
PSY 12525 Issued in CA
Legal business name
HOME BASE: PARENTING FUNDAMENTALS
Practice address
411 30TH St Ste 514
Oakland, CA 94609-3303
Phone
(510) 823-2035
NPI assigned
Jan 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2016

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

Authorized official

Name
Dr. Elizabeth Milnes, PSY.D.NPI 1952408973
Title
Executive Director
Phone
(510) 823-2035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TF0000X PSY 12525 CA Primary

Addresses

Primary practice location

411 30TH St Ste 514
Oakland, CA 94609-3303

Mailing address

411 30TH St Ste 514
Oakland, CA 94609-3303

National Provider Directory

National Provider Directory

Locations

411 30th St
Ste 514
Oakland, CA 94609
Phone (510) 759-3774

Practitioners & affiliated clinicians

Practitioners 1

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": "1451692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451692800000",
    "number": "1932565207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 30TH ST STE 514",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 30TH ST STE 514",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093303",
            "telephone_number": "510-823-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BASE: PARENTING FUNDAMENTALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-02",
        "last_updated": "2016-01-02",
        "status": "A",
        "authorized_official_last_name": "MILNES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-823-2035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY 12525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2016; 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.