LIVE OAK PSYCHOLOGICAL SERVICES, PC
NPI 1891558433
Psychologist - Clinical in Berkeley, CA

Active since February 05, 2024
2020 MILVIA ST STE 450, BERKELEY, CA 94704(510) 214-2110 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Live Oak Psychological Services, Pc NPPES

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

LIVE OAK PSYCHOLOGICAL SERVICES, PC (NPI 1891558433) is a healthcare organization registered as a clinical in Berkeley, California and active in the NPI registry since February 2024. The organization lists Susan Ryan, President, as its authorized official.

NPPES Registry Identity

NPI1891558433
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIVE OAK PSYCHOLOGICAL SERVICES, PC
Location Address2020 MILVIA ST STE 450Berkeley, CA 94704-1297
Mailing Address107 Tamalpais RdBerkeley, CA 94708-1948 · (510) 872-6631
Organization SubpartNo
Authorized OfficialSusan RyanPresident · (510) 214-2110
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
NPI 1891558433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

2020 MILVIA ST STE 450, Berkeley, CA 94704

Other Identifiers 1

Other1326523044CA · Nppes

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 SINGLE SPECIALTY GROUP

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.

Marriage & Family Therapist
2020 MILVIA ST STE 450
BERKELEY, CA 94704
Marriage & Family Therapist
2020 MILVIA ST STE 450
BERKELEY, CA 94704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891558433, enumerated as an "organization" on February 05, 2024.

The provider is located at 2020 MILVIA ST STE 450 BERKELEY, CA 94704 and the phone number is (510) 214-2110.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.