Liberate Psychological & Consultation Services, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

LIBERATE PSYCHOLOGICAL & CONSULTATION SERVICES, INC.

Practice address

2940 Summit Street
Suite 2D
Oakland, CA 94609-7019

Phone

(415) 286-5067

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tanya Erazo, PH.D.NPI 1679244511

Title

Founder & Ceo

Phone

(415) 286-5067

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanya Erazo, PH.D.

  • Clinical Psychologist
  • Menlo Park, CA
  • NPI 1679244511
  NPD Authorized official

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1972205102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 LANDESS AVE # 543",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 SUMMIT STREET",
            "address_2": "SUITE 2D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946097019",
            "telephone_number": "415-286-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATE PSYCHOLOGICAL & CONSULTATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "ERAZO",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "415-286-5067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winnie Zhi Liao
• Natalya Liauw, RN
• Jamil Moises Liban-Ortanez, AMFT
• Jessica Catherine Libbey
• Emily Libby, LCSW
• Liberty Health Care Services LLC
• Liberty Health Services, LLC
• Judith Ann Libow, PH.D.
• Luis Libran, M.D.
• Gianna Liccio

• Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.