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JESSICA ACOCK CARLISLE
NPI 1073099479
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since July 18, 2018
2222 BANCROFT WAY SPC 4300, BERKELEY, CA 94720(510) 642-2367 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Acock Carlisle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ACOCK CARLISLE (NPI 1073099479) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1073099479
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA ACOCK CARLISLE
Location Address2222 BANCROFT WAY SPC 4300Berkeley, CA 94720-4300
Mailing Address1219b Kirkham StSan Francisco, CA 94122-3420
Phone(510) 642-2367
Sole ProprietorNo
Enumeration DateJuly 18, 2018
✔ NPI 1073099479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2222 BANCROFT WAY SPC 4300, Berkeley, CA 94720
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIMADHARI SHARMA MA
Psychologist (Counseling)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
DR. MATTHEW READER GOODMAN PH.D.
Psychologist (Counseling)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-0695
NAWAR ALBARAK
Counselor (Mental Health)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
ZIYI WANG
Student in an Organized Health Care Education/Training Program
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
SHAO-JUNG KO
Psychologist (Counseling)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9336
AAMINA SHABEER MA
Counselor (Mental Health)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
AMBER JONES A.M., LCSW
Social Worker (Clinical)
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 642-9494
ANDREW SOWYRDA DPT
Physical Therapist
2222 BANCROFT WAY SPC 4300
BERKELEY, CA 94720
Alameda County (510) 643-2908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Acock Carlisle's NPI number?

The NPI number for Jessica Acock Carlisle is 1073099479. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Jessica Acock Carlisle located?

Jessica Acock Carlisle practices at 2222 Bancroft Way Spc 4300, Berkeley, CA 94720. The listed phone number is (510) 642-2367.

What is Jessica Acock Carlisle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Acock Carlisle was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.