Nicole Chantel Chambers, PSYD is a
Psychologist - Clinical based in Oakland, California. Nicole Chantel Chambers is licensed to practice in California (license number PSY30966) and her current practice location is
519 17th St Ste 210, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 628-9065.
NPI number for Nicole Chantel Chambers is 1821297029 and her current mailing address is Po Box 710371, Santee, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821297029.
Healthcare Provider's Profile
| Full Name | Nicole Chantel Chambers |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 519 17th St Ste 210, Oakland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821297029
- Provider Enumeration Date: 07/17/2007
- Last Update Date: 06/27/2019
Medical Identifiers
Medical identifiers for Nicole Chantel Chambers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821297029 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY30966 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Chantel Chambers is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicole Chantel Chambers, PSYD
Po Box 710371,
Santee, CA 92072-0371
Ph: (415) 410-9037 | Nicole Chantel Chambers, PSYD
519 17th St Ste 210,
Oakland, CA 94612-1568
Ph: (510) 628-9065 |
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