Healthcare Provider Details

I. General information

NPI: 1871754671
Provider Name (Legal Business Name): LAURA RAINVILLE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2008
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5305 COLLEGE AVE RM 2
OAKLAND CA
94618-1416
US

IV. Provider business mailing address

5305 COLLEGE AVE RM 2
OAKLAND CA
94618-1416
US

V. Phone/Fax

Practice location:
  • Phone: 510-545-6905
  • Fax:
Mailing address:
  • Phone: 510-545-6905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number26540
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: