Individual provider Active NPI

Ari Oklan

  • Clinical Psychologist
  • Berkeley, CA
National Provider Identifier
1962759449
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30350 Issued in CA
Practice address
3075 Adeline St Ste 120
Berkeley, CA 94703-2579
Phone
(510) 848-1112
NPI assigned
Aug 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X PSY30350 CA
Clinical Psychologist 103TC0700X PSY30350 CA Primary

Addresses

Primary practice location

3075 Adeline St Ste 120
Berkeley, CA 94703-2579

Mailing address

3075 Adeline St Ste 120
Berkeley, CA 94703-2579
Phone (510) 848-1112

Other practice location 1

1001 Potrero Ave
6B
San Francisco, CA 94110-3518
Phone (415) 206-5270 ext. 41520

Other practice location 2

412 Red Hill Ave Ste 5
San Anselmo, CA 94960-2468
Phone (510) 621-7098

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY30350CAMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Looking Glass PastSince Feb 4, 2012 Accepting new patients
University of California, San Francisco Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1962759449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ADELINE ST STE 120",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032579",
            "telephone_number": "510-848-1112",
            "fax_number": "510-848-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 ADELINE ST STE 120",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032579",
            "telephone_number": "510-848-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave",
            "address_2": "6B",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-5270 x41520",
            "fax_number": "415-206-4722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 Red Hill Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "San Anselmo",
            "state": "CA",
            "postal_code": "949602468",
            "country_code": "US",
            "telephone_number": "510-621-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKLAN",
        "first_name": "ARI",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY30350",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.