Healthcare Provider Details

I. General information

NPI: 1134086150
Provider Name (Legal Business Name): BAY AREA TRAUMA RECOVERY CLINICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 SACRAMENTO ST STE A
BERKELEY CA
94702-2726
US

IV. Provider business mailing address

3220 SACRAMENTO ST STE A
BERKELEY CA
94702-2726
US

V. Phone/Fax

Practice location:
  • Phone: 510-660-1493
  • Fax:
Mailing address:
  • Phone: 510-660-1493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ROBINSON
Title or Position: CLINIC MANAGER
Credential:
Phone: 510-660-1493