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BRAVE SPACE THERAPY INC
NPI 1346940491
Psychologist - Clinical in Oakland, CA

Active since March 07, 2023
2220 MOUNTAIN BLVD STE 240, OAKLAND, CA 94611(510) 500-5470 Get Directions Write a Review

NPPES record last updated: September 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2025, Mar 7, 2023 (2 updates tracked since 2023).

About Brave Space Therapy Inc NPPES

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

BRAVE SPACE THERAPY INC (NPI 1346940491) is a healthcare organization registered as a clinical in Oakland, California and active in the NPI registry since March 2023. The organization lists Roni Khol, Owner, as its authorized official.

NPPES Registry Identity

NPI1346940491
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBRAVE SPACE THERAPY INC
Location Address2220 MOUNTAIN BLVD STE 240Oakland, CA 94611-2905
Mailing Address5665 College Ave Ste 240eOakland, CA 94618-1647 · (510) 500-5470
Phone(510) 500-5470
Organization SubpartNo
Authorized OfficialRoni KholOwner · (510) 500-5470
Enumeration DateMarch 7, 2023
Last NPPES UpdateSeptember 7, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2025
✔ NPI 1346940491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2220 MOUNTAIN BLVD STE 240, Oakland, CA 94611
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MRS. DANA BURRIS COLE
Marriage & Family Therapist
2220 MOUNTAIN BLVD STE 240
OAKLAND, CA 94611
Alameda County (510) 701-0846
RONI KHOL PSYD
Psychologist (Clinical)
2220 MOUNTAIN BLVD STE 240
OAKLAND, CA 94611
Alameda County (510) 500-5470
DENISE SMERNES M.F.T.
Counselor (Mental Health)
2220 MOUNTAIN BLVD STE 240
OAKLAND, CA 94611
Alameda County (510) 336-0637
NEDRA N SHUMWAY
Marriage & Family Therapist
2220 MOUNTAIN BLVD STE 240
OAKLAND, CA 94611
Alameda County (510) 420-1623
LORI GOLDRICH PH.D.
Psychologist (Clinical)
2220 MOUNTAIN BLVD STE 240
OAKLAND, CA 94611
Alameda County (510) 698-4353
ERICA REISCHER PHD
Psychologist
2220 MOUNTAIN BLVD STE 240
OAKLAND, CA 94611
Alameda County (510) 488-3143

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 Brave Space Therapy Inc's NPI number?

The NPI number for Brave Space Therapy Inc is 1346940491. It was assigned to this organization in the NPPES registry on March 7, 2023.

Where is Brave Space Therapy Inc located?

Brave Space Therapy Inc is located at 2220 Mountain Blvd Ste 240, Oakland, CA 94611. The listed phone number is (510) 500-5470.

What is Brave Space Therapy Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Brave Space Therapy Inc was last updated on September 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.