DR. PATRICK DEAN CHRISMAN PSY.D.
NPI 1649318015
Psychologist in Oakland, CA

Active since February 01, 2007PECOS Enrolled
4000 BROADWAY STE 4, OAKLAND, CA 94611(415) 297-4761(510) 652-7011 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2023, Aug 23, 2023, Jan 16, 2023 (3 updates tracked since 2023).

About Dr. Patrick Dean Chrisman Psy.d. NPPES

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

DR. PATRICK DEAN CHRISMAN PSY.D. (NPI 1649318015) is an individual psychologist in Oakland, California, licensed in California (PSY22993) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649318015
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. PATRICK DEAN CHRISMANCredential: PSY.D.
Location Address4000 BROADWAY STE 4Oakland, CA 94611-5670
Mailing Address4000 Broadway Ste 4Oakland, CA 94611-5670 · (415) 297-4761
Fax(510) 652-7011
Sole ProprietorYes
Enumeration DateFebruary 1, 2007
Last NPPES UpdateDecember 6, 20233 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1649318015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY22993
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PSY22993 (CA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY22993 (CA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY22993 (CA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY22993 (CA)
4000 BROADWAY STE 4, Oakland, CA 94611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Patrick Dean Chrisman Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
4000 BROADWAY STE 4
OAKLAND, CA 94611
Psychologist (Clinical)
4000 BROADWAY STE 4
OAKLAND, CA 94611

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 Patrick Chrisman's NPI number?

The NPI number for Patrick Chrisman is 1649318015. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Patrick Chrisman located?

Patrick Chrisman practices at 4000 Broadway Ste 4, Oakland, CA 94611. The listed phone number is (415) 297-4761.

What is Patrick Chrisman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Patrick Chrisman enrolled in Medicare?

Yes. Patrick Chrisman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patrick Chrisman was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.