Active NPI
Theresa Hong
- Art Therapist
- Oakland, CA
National Provider Identifier
1992484166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 20-124
- Practice address
- 55 Santa Clara Ave Ste 220
Oakland, CA 94610-1375 - Phone
- (510) 675-7070
- NPI assigned
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 20-124 | CA | Primary |
Addresses
Primary practice location
55 Santa Clara Ave Ste 220
Oakland, CA 94610-1375
Mailing address
55 Santa Clara Ave Ste 220
Oakland, CA 94610-1375
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20-124 | CA | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Art Therapy | Art Therapist | Current | Accepting new patients |
Locations
55 Santa Clara Ave
Ste 220
Oakland, CA 94610
Phone (510) 373-9932
Organizations & group practices 1
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.
-
- Art Therapist
- Oakland, CA
- NPI 1912647207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1992484166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SANTA CLARA AVE STE 220",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SANTA CLARA AVE STE 220",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101375",
"telephone_number": "510-675-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "THERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-14",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "CA",
"license": "20-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.