Brave Space Therapy Inc
NPI 1346940491 · Clinical Psychologist · Oakland, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brave Space Therapy Inc is a Clinical Psychologist organization in Oakland, CA (NPI 1346940491).
Provider details
- NPI number
- 1346940491
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Roni Khol, Owner(510) 500-5470
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-07
- Last updated
- 2025-09-07
- Certified
- 2025-09-07
Frequently asked questions
- What is Brave Space Therapy Inc's NPI number?
- Brave Space Therapy Inc's National Provider Identifier (NPI) is 1346940491, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brave Space Therapy Inc?
- Brave Space Therapy Inc is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Brave Space Therapy Inc located?
- Brave Space Therapy Inc's practice location on file with NPPES is 2220 Mountain Blvd Ste 240, Oakland, CA 94611-2905.
- What is Brave Space Therapy Inc's phone number?
- The practice phone number listed in the NPPES registry for Brave Space Therapy Inc is (510) 500-5470.
- Does Brave Space Therapy Inc accept Medicare?
- Brave Space Therapy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Brave Space Therapy Inc?
- The authorized official listed on Brave Space Therapy Inc's NPPES record is Roni Khol, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brave Space Therapy Inc's NPI active?
- Yes — Brave Space Therapy Inc's NPI (1346940491) is active in the NPPES registry as of the last update on 2025-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.