| Next Steps Neuropsychology | |
|
55 Santa Clara Ave Ste 165 Oakland CA 94610-1333 | |
| (510) 485-0008 | |
| Not Available |
| Full Name | Next Steps Neuropsychology |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 55 Santa Clara Ave Ste 165, Oakland, California |
| Authorized Official Name and Position | Kristen Marie Wortman (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 5104850008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Next Steps Neuropsychology 55 Santa Clara Ave Ste 165 Oakland CA 94610-1333 Ph: (510) 485-0008 | Next Steps Neuropsychology 55 Santa Clara Ave Ste 165 Oakland CA 94610-1333 Ph: (510) 485-0008 |
| NPI Number | 1447896253 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 06/02/2021 |
| Certification Date | 04/16/2021 |
| Medicare PECOS PAC ID | 8628408002 |
|---|---|
| Medicare Enrollment ID | O20200427001418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447896253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Carmen C Velazquez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669621926 PECOS PAC ID: 4486974946 Enrollment ID: I20150522002070 |
| Provider Name | Kristen M Wortman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518390350 PECOS PAC ID: 0446680821 Enrollment ID: I20200428000458 |
| Provider Name | Lainie Posecion |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447800842 PECOS PAC ID: 6002290087 Enrollment ID: I20220825002883 |
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