Healthcare Provider Details

I. General information

NPI: 1205790763
Provider Name (Legal Business Name): CLEARPATH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1458 E 31ST ST
OAKLAND CA
94602-1019
US

IV. Provider business mailing address

1458 E 31ST ST
OAKLAND CA
94602-1019
US

V. Phone/Fax

Practice location:
  • Phone: 347-751-9743
  • Fax:
Mailing address:
  • Phone: 347-751-9743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CHANELLE RAMSUBICK
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 347-751-9743