Active NPI
Oak Creek Relational Counseling Center
- Counseling Psychologist
- Pleasant Hill, CA
National Provider Identifier
1962092445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Pleasant Hill, CA
- NPI 1821798950
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.