Healthcare Provider Details

I. General information

NPI: 1316884752
Provider Name (Legal Business Name): JONAH HOYLE AMFT, PPSC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5222 YGNACIO AVE
OAKLAND CA
94601-5422
US

IV. Provider business mailing address

3706 BROOKDALE AVE
OAKLAND CA
94619-1018
US

V. Phone/Fax

Practice location:
  • Phone: 510-879-2136
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: