Healthcare Provider Details

I. General information

NPI: 1316484926
Provider Name (Legal Business Name): OASIS PSYCHOLOGICAL THERAPY CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2017
Last Update Date: 01/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5327 COLLEGE AVE
OAKLAND CA
94618-1416
US

IV. Provider business mailing address

5327 COLLEGE AVE
OAKLAND CA
94618-1416
US

V. Phone/Fax

Practice location:
  • Phone: 510-900-9746
  • Fax:
Mailing address:
  • Phone: 510-900-9746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 28219
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW 29475
License Number StateCA

VIII. Authorized Official

Name: DR. ALLISON AYELET KRIEGER
Title or Position: LICENSED CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 510-900-9746