MEDICARE: DR. ANDREAS BOLLINGER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TA0400X	Addiction (Substance Use Disorder) Psychologist
2	103TB0200X	Cognitive & Behavioral Psychologist
3	103TC0700X	Clinical Psychologist	20749	CA
4	103TF0000X	Family Psychologist
5	103TP2701X	Group Psychotherapy Psychologist

General Provider Information

NPI Number	:	1700079530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREAS BOLLINGER PH.D.

Provider Business Mailing Address
First Line	:	525 21ST ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-1605
Country	:	US
Telephone Number	:	510-587-3441
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 21ST ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-1605
Country	:	US
Telephone Number	:	510-587-3441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	06/19/2015

Similar Medicare Providers

1295719219 — DR. KUMAR VEDANTHAM M.D.
Practice Location Address:

525 21ST ST
OAKLAND, CA
94612-1605

Practice Phone: 510-587-3442
Practice Fax: 510-587-3420

1679524177 — MR. RICHARD J PINARD LCSW-R
Practice Location Address:

525 21ST ST
OAKLAND, CA
94612-1605

Practice Phone: 510-587-3440
Practice Fax:

1205855681 — MAREA M. MURRAY MSW, LCSW
Practice Location Address:

1605 JEFFERSON ST
OAKLAND, CA
94612-1215

Practice Phone: 510-923-1099
Practice Fax:

1508991472 — CECILE LEE M.D.
Practice Location Address:

525 21ST ST , OAKLAND BEHAVIORAL HEALTH
OAKLAND, CA
94612-1605

Practice Phone: 510-587-3495
Practice Fax:

1124156294 — MR. RYANN ESTEBAN LCSW
Practice Location Address:

525 21ST ST
OAKLAND, CA
94612-1605

Practice Phone: 847-912-4509
Practice Fax:

1073728770 — BONITA HOUSE, INC.
Practice Location Address:

1605 JEFFERSON ST
OAKLAND, CA
94612-1215

Practice Phone: 510-923-1099
Practice Fax:

Directions to “ DR. ANDREAS BOLLINGER PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.