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SUPPORTING SOCIAL SUCCESS INC. NPI 1518251610


NPI Information

NPI: 1518251610
Provider Name: SUPPORTING SOCIAL SUCCESS, INC.
Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
6116 CHELTON DR
OAKLAND, CA
ZIP 94611
Phone: (510) 493-0855
Get Directions

SUPPORTING SOCIAL SUCCESS, INC. is a cognitive and behavioral psychologist in Oakland, CA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. SUPPORTING SOCIAL SUCCESS, INC. NPI is 1518251610. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6116 CHELTON DR
OAKLAND, CA
ZIP 94611-429
Phone: (510) 493-0855

The provider's authorized official is Jack Bannon .
The authorized official title is Director and has the following contact phone number (510) 493-0855.

The enumeration date for this NPI number is 6/6/2011 and was last updated on 6/6/2011.


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
1103TB0200XPsychologistCognitive & BehavioralYes

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

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