Individual
DR. SCOTT JAY MADOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7200 BANCROFT AVE, EASTMONT TOWN CENTER BLDG. B SUITE 133, OAKLAND, CA 94605-2403
(510) 553-8500
(510) 553-8550
Mailing address
37 HERITAGE CT, BELMONT, CA 94002-2944
(510) 553-8500
(510) 553-8550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
PSY 14788
CA
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801983960
ICM
CA
Enumeration date
01/03/2007
Last updated
09/11/2025
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