Healthcare Provider Details

I. General information

NPI: 1003761610
Provider Name (Legal Business Name): SCOTT TURNER JD, MA, FIPA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W WINTON AVE
HAYWARD CA
94544-1137
US

IV. Provider business mailing address

285 VAN BUREN AVE APT 5
OAKLAND CA
94610-4351
US

V. Phone/Fax

Practice location:
  • Phone: 510-423-3536
  • Fax:
Mailing address:
  • Phone: 510-434-4146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number313
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: