Organization Active NPI

Oak Creek Relational Counseling Center

  • Counseling Psychologist
  • Pleasant Hill, CA
National Provider Identifier
1962092445
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
OAK CREEK RELATIONAL COUNSELING CENTER
Practice address
2100 Monument Blvd Ste 17
Pleasant Hill, CA 94523-3400
Phone
(925) 822-5937
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Stephen Polin, LMFT
Title
Director
Phone
(925) 822-5937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

2100 Monument Blvd Ste 17
Pleasant Hill, CA 94523-3400

Mailing address

2100 Monument Blvd Ste 17
Pleasant Hill, CA 94523-3400
Phone (925) 822-5937

Other names 1

  • Oak Creek Relational Counseling Center Other name

National Provider Directory

National Provider Directory

Locations

2100 Monument Blvd
Ste 17
Pleasant Hill, CA 94523
Phone (925) 252-5550

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": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1962092445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MONUMENT BLVD STE 17",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233400",
            "telephone_number": "925-822-5937",
            "fax_number": "925-822-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MONUMENT BLVD STE 17",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233400",
            "telephone_number": "925-822-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK RELATIONAL COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "POLIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "925-822-5937",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Creek Relational Counseling Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.