NICHOLAS HACK PSYCHOTHERAPY, INC.
NPI 1780251124
Community/Behavioral Health in Oakland, CA

Q: What is Nicholas Hack Psychotherapy, Inc.'s NPI number?

The NPI number for Nicholas Hack Psychotherapy, Inc. is 1780251124. It was assigned to this organization in the NPPES registry on June 4, 2021.

Q: What is Nicholas Hack Psychotherapy, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since June 04, 2021

3800 PARK BLVD STE 200, OAKLAND, CA 94602(707) 564-7579 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nicholas Hack Psychotherapy, Inc. NPPES

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

NICHOLAS HACK PSYCHOTHERAPY, INC. (NPI 1780251124) is a healthcare organization registered as a community/behavioral health in Oakland, California and active in the NPI registry since June 2021. The organization lists Nicholas Hack, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1780251124

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameNICHOLAS HACK PSYCHOTHERAPY, INC.

Location Address3800 PARK BLVD STE 200Oakland, CA 94602-1114

Mailing Address3800 Park Blvd Ste 200Oakland, CA 94602-1114

Phone(707) 564-7579

Organization SubpartNo

Authorized OfficialNicholas HackClinical Psychologist · (707) 564-7579

Enumeration DateJune 4, 2021

NPPES CertifiedJune 4, 2021

✔ NPI 1780251124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

3800 PARK BLVD STE 200, Oakland, CA 94602

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Other Names 1

Doing Business AsNicholas Hack Psychotherapy, Inc.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Hack Psychotherapy, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicholas Hack Psychotherapy, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicholas Hack, MA

Clinical Psychologist

NPI 1972941342

3800 PARK BLVD STE 200
Oakland, CA 94602

(707) 564-7579

✔ PECOS✔ Accepts MedicareSame address

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 Nicholas Hack Psychotherapy, Inc.'s NPI number?

The NPI number for Nicholas Hack Psychotherapy, Inc. is 1780251124. It was assigned to this organization in the NPPES registry on June 4, 2021.

Where is Nicholas Hack Psychotherapy, Inc. located?

Nicholas Hack Psychotherapy, Inc. is located at 3800 Park Blvd Ste 200, Oakland, CA 94602. The listed phone number is (707) 564-7579.

What is Nicholas Hack Psychotherapy, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Nicholas Hack Psychotherapy, Inc. enrolled in Medicare?

Yes. Nicholas Hack Psychotherapy, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nicholas Hack Psychotherapy, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Nicholas Hack Psychotherapy, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Hack Psychotherapy, Inc. was last updated on June 4, 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.