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

Q: What is Live Oak Psychological Services, PC's NPI number?

The NPI number for Live Oak Psychological Services, PC is 1891558433. It was assigned to this organization in the NPPES registry on February 5, 2024.

Q: What is Live Oak Psychological Services, PC's specialty?

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

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: July 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2026, Feb 5, 2024 (2 updates tracked since 2024).

On this page

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

Phone(510) 214-2110

Organization SubpartNo

Authorized OfficialSusan RyanPresident · (510) 214-2110

Enumeration DateFebruary 5, 2024

Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ 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

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Live Oak Psychological Services, Pc 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 Live Oak Psychological Services, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan Ryan, MA

Clinical Psychologist

NPI 1326523044

1918 UNIVERSITY AVE STE 2B
Berkeley, CA 94704

(510) 548-9716

✔ PECOS✔ Accepts Medicare0.1 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 Live Oak Psychological Services, PC's NPI number?

The NPI number for Live Oak Psychological Services, PC is 1891558433. It was assigned to this organization in the NPPES registry on February 5, 2024.

Where is Live Oak Psychological Services, PC located?

Live Oak Psychological Services, PC is located at 2020 Milvia St Ste 450, Berkeley, CA 94704. The listed phone number is (510) 214-2110.

What is Live Oak Psychological Services, PC's specialty?

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

Is Live Oak Psychological Services, PC enrolled in Medicare?

Yes. Live Oak Psychological Services, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Live Oak Psychological Services, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Live Oak Psychological Services, PC. 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 Live Oak Psychological Services, PC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.