OrganizationActive
Green Psychotherapy, PC
NPI 1366001034 · Clinical Psychologist · Berkeley, CA
Provider details
- NPI number
- 1366001034
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Douglas Vakoch, Chief Executive Officer(510) 612-0097
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
2041 Bancroft Way Ste 202
Berkeley, CA 94704-1443
Phone: (510) 612-0097
Street-level locationGet directions
Mailing address
1918 Bonita Ave
Berkeley, CA 94704-1014
Additional practice locations (4)
- 1918 Bonita AveBerkeley, CA 94704-1014Phone: (510) 612-0097
- 3867 Howe StOakland, CA 94611-5343Phone: (510) 612-0097
- 2940 Summit StOakland, CA 94609-3416Phone: (510) 612-0097
- 815 Hyde StSan Francisco, CA 94109-5996Phone: (510) 612-0097
Registry dates
- Enumerated
- 2019-06-06
- Last updated
- 2020-01-12
- Certified
- 2020-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.