Ronnie Doss

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY28706 Issued in CA

Practice address

1423 Broadway
Oakland, CA 94612-2054

Phone

(209) 565-3460

NPI assigned

Oct 4, 2015

Last updated

Apr 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Accepting Psychology Inc

  • Psychologist
  • Oakland, CA
  • NPI 1639920135
  NPD Authorized official

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1992175863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122054",
            "telephone_number": "209-565-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122054",
            "telephone_number": "209-565-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSS",
        "first_name": "RONNIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-04",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY28706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dorsett, CNP, CD, CLE
• Silvia Dos Santos Kellum
• Amrit Kaur Dosanjh, MD, MPH
• Thea Dosanjh, D.D.S.
• Bella A. Doshi, M.D.
• Dot Center - Marriage and Family Therapy Inc.
• Jacqueline Douangboupha, LVN
• Gary Lee Dougan, DDS, MPH
• Dawn Dougherty, LCSW
• Maya Dougherty, MSW

• 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 Apr 23, 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.