BAY PSYCHOLOGY GROUP INC
NPI 1689173759
Psychologist - Clinical in Oakland, CA

Q: What is Bay Psychology Group Inc's NPI number?

The NPI number for Bay Psychology Group Inc is 1689173759. It was assigned to this organization in the NPPES registry on February 5, 2018.

Q: What is Bay Psychology Group Inc's specialty?

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

Active since February 05, 2018

4900 SHATTUCK AVE UNIT 3593, OAKLAND, CA 94609(510) 788-0005 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Bay Psychology Group Inc NPPES

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

BAY PSYCHOLOGY GROUP INC (NPI 1689173759) is a healthcare organization registered as a clinical in Oakland, California and active in the NPI registry since February 2018. The organization lists Brian S Sedgeley, President, as its authorized official.

NPPES Registry Identity

NPI1689173759

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBAY PSYCHOLOGY GROUP INC

Location Address4900 SHATTUCK AVE UNIT 3593Oakland, CA 94609-7022

Mailing Address4900 Shattuck Ave Unit 3593Oakland, CA 94609-7022 · (510) 788-0005

Phone(510) 788-0005

Organization SubpartNo

Authorized OfficialBrian S SedgeleyPresident · (510) 788-0005

Enumeration DateFebruary 5, 2018

Last NPPES UpdateApril 12, 2021

NPPES CertifiedMarch 22, 2021

✔ NPI 1689173759 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 · PSY27612

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.

4900 SHATTUCK AVE UNIT 3593, Oakland, CA 94609

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bay Psychology Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bay Psychology Group Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Brian Sedgeley, PSY.D.

Clinical Psychologist

NPI 1770725624

5297 COLLEGE AVE STE 103
Oakland, CA 94618

(510) 788-0005

✔ PECOS✔ Accepts Medicare0.7 mi

Kathleen Wonacott, MSW

Clinical Social Worker

NPI 1558620419

5297 COLLEGE AVE STE 103
Oakland, CA 94618

(415) 457-3755

✔ PECOS✔ Accepts Medicare0.7 mi

Emma Sofen, MA

Marriage and Family Therapist

NPI 1841860392

3001 INTERNATIONAL BLVD
Oakland, CA 94601

(831) 818-2442

✔ PECOS4.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bay Psychology Group Inc's NPI number?

The NPI number for Bay Psychology Group Inc is 1689173759. It was assigned to this organization in the NPPES registry on February 5, 2018.

Where is Bay Psychology Group Inc located?

Bay Psychology Group Inc is located at 4900 Shattuck Ave Unit 3593, Oakland, CA 94609. The listed phone number is (510) 788-0005.

What is Bay Psychology Group Inc's specialty?

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

Is Bay Psychology Group Inc enrolled in Medicare?

Yes. Bay Psychology Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bay Psychology Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bay Psychology Group Inc, in Clinical Psychologist, Clinical Social Worker and Marriage and Family Therapist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bay Psychology Group Inc was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.