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MR. TIMOTHY NORBERT CLANCY MHRS NPI 1053854802


NPI Information

NPI: 1053854802
Provider Name: MR. TIMOTHY NORBERT CLANCY, MHRS
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
3301 E 12TH ST STE 259
OAKLAND, CA
ZIP 94601
Phone: (510) 269-9030
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MR. Timothy Norbert Clancy, MHRS is a counselor in Oakland, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Timothy Norbert Clancy, MHRS NPI is 1053854802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3301 E 12TH ST STE 259
OAKLAND, CA
ZIP 94601-940
Phone: (510) 269-9030
Fax: (510) 269-9031

The enumeration date for this NPI number is 11/28/2016 and was last updated on 8/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
2101YM0800XCounselorMental HealthNo
3172V00000XCommunity Health WorkerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.