Healthcare Provider Details

I. General information

NPI: 1548779762
Provider Name (Legal Business Name): ALEXANDRA SCHLAGER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2017
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 BROADWAY
OAKLAND CA
94612-2141
US

IV. Provider business mailing address

2901 MEADOW LARK DR
SAN DIEGO CA
92123-2711
US

V. Phone/Fax

Practice location:
  • Phone: 510-273-4200
  • Fax: 510-273-8340
Mailing address:
  • Phone: 858-694-4680
  • Fax: 858-694-4492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35961
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: