Organization
CENTER FOR ADOLESCENT STUDIES, INC.
Active
Other names
Sam Himelstein Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
SAM HIMELSTEIN PHD (CEO)
(510) 247-0577
Entity
Organization
Contact information
Practice address
4400 KELLER AVE STE 200, OAKLAND, CA 94605-4229
(510) 295-8977
Mailing address
4400 KELLER AVE STE 200, OAKLAND, CA 94605-4229
(510) 470-5777
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY25229
CA
103TC0700X
Clinical Psychologist
Primary
PSY25229
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY25229
CA
103TF0000X
Family Psychologist
PSY25229
CA
103TF0200X
Forensic Psychologist
PSY25229
CA
103TP2701X
Group Psychotherapy Psychologist
PSY25229
CA
Other
Enumeration date
08/08/2018
Last updated
07/13/2019
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