MR. AHMED KAMIL JIBRIL PSYD.
NPI 1487857348
Psychologist - Clinical in Oakland, CA

Q: What is Ahmed Jibril's NPI number?

The NPI number for Ahmed Jibril is 1487857348. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Q: What is Ahmed Jibril's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ahmed Jibril was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment

4200 PARK BLVD # 106, OAKLAND, CA 94602(510) 269-0424 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2024, Aug 8, 2023 (2 updates tracked since 2023).

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About Mr. Ahmed Kamil Jibril Psyd. NPPES

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

MR. AHMED KAMIL JIBRIL PSYD. (NPI 1487857348) is an individual clinical provider in Oakland, California, licensed in California (PSY27036) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1487857348

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. AHMED KAMIL JIBRILCredential: PSYD.

Location Address4200 PARK BLVD # 106Oakland, CA 94602-1312

Mailing Address4200 Park Blvd # 106Oakland, CA 94602-1312 · (510) 269-0424

Phone(510) 269-0424

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateJune 7, 2007

Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration

NPPES CertifiedNovember 22, 2024

✔ NPI 1487857348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY27036

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.

4200 PARK BLVD # 106, Oakland, CA 94602

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ahmed Kamil Jibril Psyd. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739552928

PECOS Enrollment IDI20230309001354

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ahmed Jibril's NPI number?

The NPI number for Ahmed Jibril is 1487857348. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Ahmed Jibril located?

Ahmed Jibril practices at 4200 Park Blvd # 106, Oakland, CA 94602. The listed phone number is (510) 269-0424.

What is Ahmed Jibril's specialty?

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

Is Ahmed Jibril enrolled in Medicare?

Yes. Ahmed Jibril is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ahmed Jibril was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.