Healthcare Provider Details

I. General information

NPI: 1649460460
Provider Name (Legal Business Name): JODI L. MCCARTHY PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 CHALLENGER DR
ALAMEDA CA
94501-1037
US

IV. Provider business mailing address

2060 CHALLENGER DR
ALAMEDA CA
94501-1037
US

V. Phone/Fax

Practice location:
  • Phone: 510-432-3625
  • Fax:
Mailing address:
  • Phone: 510-432-3625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number44880
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: