GREEN PSYCHOTHERAPY, PC
NPI 1366001034
Psychologist - Clinical in Berkeley, CA

Q: What is Green Psychotherapy, PC's NPI number?

The NPI number for Green Psychotherapy, PC is 1366001034. It was assigned to this organization in the NPPES registry on June 6, 2019.

Q: What is Green Psychotherapy, PC's specialty?

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

Active since June 06, 2019

2041 BANCROFT WAY STE 202, BERKELEY, CA 94704(510) 612-0097 Get Directions Write a Review

NPPES record last updated: January 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2020, Jun 6, 2019 (2 updates tracked since 2019).

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About Green Psychotherapy, Pc NPPES

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

GREEN PSYCHOTHERAPY, PC (NPI 1366001034) is a healthcare organization registered as a clinical in Berkeley, California and active in the NPI registry since June 2019. The organization maintains 4 additional practice locations and lists Douglas Vakoch, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1366001034

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameGREEN PSYCHOTHERAPY, PC

Location Address2041 BANCROFT WAY STE 202Berkeley, CA 94704-1443

Mailing Address1918 Bonita AveBerkeley, CA 94704-1014

Phone(510) 612-0097

Organization SubpartNo

Authorized OfficialDouglas VakochChief Executive Officer · (510) 612-0097

Enumeration DateJune 6, 2019

Last NPPES UpdateJanuary 12, 20202 updates tracked since enumeration

✔ NPI 1366001034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPsychologistTaxonomy 103T00000X

2041 BANCROFT WAY STE 202, Berkeley, CA 94704

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Secondary Practice Locations 4

Location 12940 Summit StOakland, CA 94609-3416 · Phone (510) 612-0097

Location 2815 Hyde StSan Francisco, CA 94109-5996 · Phone (510) 612-0097

Location 31918 Bonita AveBerkeley, CA 94704-1014 · Phone (510) 612-0097

Location 43867 Howe StOakland, CA 94611-5343 · Phone (510) 612-0097

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 3

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

JOSHUA DAVID WESTHOELTER LMFT

Marriage & Family Therapist

2041 BANCROFT WAY STE 202
BERKELEY, CA 94704

Alameda County (510) 292-7505

DR. DOUGLAS VAKOCH PH.D.

Psychologist (Clinical)

2041 BANCROFT WAY STE 202
BERKELEY, CA 94704

Alameda County (510) 612-0097

METI INTERNATIONAL

Voluntary or Charitable

2041 BANCROFT WAY STE 202
BERKELEY, CA 94704

Alameda County (855) 638-4674

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 Green Psychotherapy, PC's NPI number?

The NPI number for Green Psychotherapy, PC is 1366001034. It was assigned to this organization in the NPPES registry on June 6, 2019.

Where is Green Psychotherapy, PC located?

Green Psychotherapy, PC is located at 2041 Bancroft Way Ste 202, Berkeley, CA 94704. The listed phone number is (510) 612-0097.

What is Green Psychotherapy, PC'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 Green Psychotherapy, PC was last updated on January 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.