| Nicholas Hack Psychotherapy, Inc. | |
|
3800 Park Blvd Ste 200 Oakland CA 94602-1114 | |
| (707) 564-7579 | |
| Not Available |
| Full Name | Nicholas Hack Psychotherapy, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3800 Park Blvd Ste 200, Oakland, California |
| Authorized Official Name and Position | Nicholas Hack (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7075647579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Hack Psychotherapy, Inc. 3800 Park Blvd Ste 200 Oakland CA 94602-1114 Ph: () - | Nicholas Hack Psychotherapy, Inc. 3800 Park Blvd Ste 200 Oakland CA 94602-1114 Ph: (707) 564-7579 |
| NPI Number | 1780251124 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Medicare PECOS PAC ID | 2769883073 |
|---|---|
| Medicare Enrollment ID | O20210624000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780251124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nicholas Don Hack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972941342 PECOS PAC ID: 2365784501 Enrollment ID: I20190508001953 |
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