Oakland Unified School Psychologist

Key facts

NPI

1962235317

Entity type

Organization (NPI type 2)

Primary specialty

School Psychologist 103TS0200X

Legal business name

OAKLAND UNIFIED SCHOOL PSYCHOLOGIST

Practice address

1011 Union St
Oakland, CA 94607-2236

Phone

(510) 879-5004

NPI assigned

Aug 21, 2024

Organization subpart

No

Authorized official

Name

Marci Bissey, PPS

Title

School Psychologist

Phone

(510) 879-5004

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 21, 2024.

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1962235317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 UNION ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072236",
            "telephone_number": "510-879-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 UNION ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072236",
            "telephone_number": "510-879-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND UNIFIED SCHOOL PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "BISSEY",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "SCHOOL PSYCHOLOGIST",
        "authorized_official_telephone_number": "510-879-5004",
        "authorized_official_credential": "PPS"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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