MEDICARE: NISHA JEAN FERNANDES-SESHADRI PSYD

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
1	103TC0700X	Clinical Psychologist	PSY27003	CA

General Provider Information

NPI Number	:	1578770996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NISHA JEAN FERNANDES-SESHADRI PSYD

Provider Business Mailing Address
First Line	:	1918 BONITA AVE STE 200
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-1014
Country	:	US
Telephone Number	:	415-890-6888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1918 BONITA AVE STE 200
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-1014
Country	:	US
Telephone Number	:	415-890-6888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	04/05/2023

Similar Medicare Providers

1417811183 — RESILIENT CHILDREN BEHAVIORAL HEALTH CENTER
Practice Location Address:

1918 BONITA AVE STE 200
BERKELEY, CA
94704-1014

Practice Phone: 415-364-8573
Practice Fax:

1730044934 — HEALTH PSYCHOLOGY CENTER, INC.
Practice Location Address:

1918 BONITA AVE STE 200
BERKELEY, CA
94704-1014

Practice Phone: 510-328-3595
Practice Fax:

1184662603 — MS. HEATHER MCLAREN ROSELAREN LCSW/MPH
Practice Location Address:

1918 BONITA AVE STE 200
BERKELEY, CA
94704-1014

Practice Phone: 510-527-1217
Practice Fax:

1275741167 — MR. ALTAF A BHIMJI L.C.S.W
Practice Location Address:

1918 BONITA AVE FL 2
BERKELEY, CA
94704-1014

Practice Phone: 510-480-7671
Practice Fax:

1558566000 — SOPHIA GENONE PH.D.
Practice Location Address:

1918 BONITA AVE
BERKELEY, CA
94704-1014

Practice Phone: 510-290-3273
Practice Fax:

1326228586 — MISS TRACY L DAVIS L.C.S.W.
Practice Location Address:

1918 BONITA AVE
BERKELEY, CA
94704-1014

Practice Phone: 510-381-4191
Practice Fax:

Directions to “ NISHA JEAN FERNANDES-SESHADRI PSYD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.