Bay Area Psychological Services Inc. · Clinical Psychologist

444 Estudillo Ave Ste D, San Leandro, CA 94577-4923

Overview

Bay Area Psychological Services Inc. is a Clinical Psychologist (organization) practicing in San Leandro, California. The National Provider Identifier (NPI) is #1699581645, which was assigned on December 4, 2024, and the registration record was last updated on December 4, 2024. The practitioner's main practice location is at 444 Estudillo Ave Ste D, San Leandro, CA 94577-4923; the contact telephone number is 5104704900. The primary taxonomy of Bay Area Psychological Services Inc. is Clinical Psychologist (103TC0700X), with specialization in Clinical. The authorized official for Bay Area Psychological Services Inc. is Matthew Verdun (Ceo).

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.

Provider Information

NPI 1699581645
Entity Type Organization
Organization Name BAY AREA PSYCHOLOGICAL SERVICES INC.
Provider Name BAY AREA PSYCHOLOGICAL SERVICES INC.
Practice Address 444 Estudillo Ave Ste D
San Leandro
CA 94577-4923
Practice Telephone 5104704900
Mailing Address 1901 Harrison St Ste 1100
Oakland
CA 94612-3648
Mailing Telephone 5104704900
Certification Date 2024-12-04
Enumeration Date 2024-12-04
Last Update Date 2024-12-04
Is Organization Subpart N

Authorized Official Information

Official Name MATTHEW VERDUN
Official Title CEO
Telephone 5104704900

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y103TC0700XPsychologistClinical193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 103TC0700X
Taxonomy Clinical Psychologist
Classification Psychologist
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
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.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

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Location Information

Street Address 444 ESTUDILLO AVE STE D
City SAN LEANDRO
State CA
Zip Code 94577-4923
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Kan-Di-Ki LLC 10948 Bigge St, San Leandro, CA 94577-1121Clinical Medical Laboratory2025-07-17
Gurett Hayes 2208 San Leandro Blvd, San Leandro, CA 94577Student in an Organized Health Care Education/Training Program2015-10-01
Kci Usa, Inc. 2400 Merced St, San Leandro, CA 94577Durable Medical Equipment & Medical Supplies2005-10-04
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Stephanie Krutsch 2208 San Leandro Blvd, San Leandro, CA 94577Student in an Organized Health Care Education/Training Program2015-09-21
Jun Wan Park 101 Callan Ave, #400, San Leandro, CA 94577Community Health Worker2024-10-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.