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General NPI Number Information
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NPI Number | 1386327310
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Entity Type | Organization
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Legal Business Name | ABILITY PSYCHOLOGICAL SERVICES, P.C.
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Dates
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Enumeration Date | 08/08/2023
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 1901 HARRISON ST STE 1100
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City | OAKLAND
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State | CA
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Zip | 94612-3648
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Country | US
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Telephone | 510-385-1646
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Fax | 510-401-3126
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Provider Business Mailing Address
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Address Line | 1901 HARRISON ST STE 1100
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City | OAKLAND
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State | CA
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Zip | 94612-3648
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Country | US
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Telephone | 510-385-1646
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Fax | 510-401-3126
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. NICOLE KIRSCH
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Credential | PSY.D.
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Telephone | 510-385-1646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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