OrganizationActive
Bay Area Collaborative Psychology Group, Inc.
NPI 1083914253 · Clinical Child & Adolescent Psychologist · Oakland, CA
Provider details
- NPI number
- 1083914253
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Patrick Chrisman, Secretary(510) 652-7011
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Practice location
4000 Broadway Suite 4
Oakland, CA 94611
Phone: (510) 652-7011
Fax: (510) 380-5298
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Broadway Suite 4
Oakland, CA 94611
Registry dates
- Enumerated
- 2010-10-22
- Last updated
- 2010-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.