Healthcare Provider Details

I. General information

NPI: 1487344693
Provider Name (Legal Business Name): PEER COLLECTIVE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 60TH ST
OAKLAND CA
94609-1421
US

IV. Provider business mailing address

731 60TH ST
OAKLAND CA
94609-1421
US

V. Phone/Fax

Practice location:
  • Phone: 510-847-6776
  • Fax:
Mailing address:
  • Phone: 510-847-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TIM DESMOND
Title or Position: CEO
Credential: LMFT
Phone: 510-847-6776