Healthcare Provider Details

I. General information

NPI: 1154255529
Provider Name (Legal Business Name): CONCENTRIC PSYCHOLOGICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 KELLER AVE STE 222
OAKLAND CA
94605-4229
US

IV. Provider business mailing address

4400 KELLER AVE STE 222
OAKLAND CA
94605-4229
US

V. Phone/Fax

Practice location:
  • Phone: 510-736-6006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH BASHNICK
Title or Position: PRESIDENT
Credential: PSYD
Phone: 510-736-6006