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NPI Code Detail

MEDICARE: BAY AREA TRAUMA RECOVERY CLINICAL SERVICES

MEDICARE: BAY AREA TRAUMA RECOVERY CLINICAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist

General Provider Information

NPI Number : 1134086150
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAY AREA TRAUMA RECOVERY CLINICAL SERVICES
Provider Business Mailing Address
First Line : 3220 SACRAMENTO ST STE A
Second Line :
City : BERKELEY
State : CA
Zip : 94702-2726
Country : US
Telephone Number : 510-660-1493
Fax Number :
Provider Business Practice Location Address
First Line : 3220 SACRAMENTO ST STE A
Second Line :
City : BERKELEY
State : CA
Zip : 94702-2726
Country : US
Telephone Number : 510-660-1493
Fax Number :
Authorized Official
Title or Position : CLINIC MANAGER
Name : MICHAEL ROBINSON
Credential :
Telephone Number : 510-660-1493
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “BAY AREA TRAUMA RECOVERY CLINICAL SERVICES ” Practice Location

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