Healthcare Provider Details

I. General information

NPI: 1447896253
Provider Name (Legal Business Name): NEXT STEPS NEURO PSYCHOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2019
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 HARRISON ST STE E
OAKLAND CA
94612-3359
US

IV. Provider business mailing address

1610 HARRISON ST STE E
OAKLAND CA
94612-3359
US

V. Phone/Fax

Practice location:
  • Phone: 510-485-0008
  • Fax: 510-485-0009
Mailing address:
  • Phone: 510-485-0008
  • Fax: 510-485-0009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. K WORTMAN
Title or Position: CLINICAL NEUROPSYCHOLOGIST
Credential: PHD
Phone: 510-485-0008