Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Green Psychotherapy, PC

Organization Psychologist · NPI 1366001034

Green Psychotherapy, PC is a Psychologist in Berkeley, California. Works from 5 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2041 Bancroft Way Ste 202
Berkeley, CA 94704-1443
Phone: (510) 612-0097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1918 Bonita Ave, Berkeley, CA 94704-1014 — (510) 612-0097
  • 2940 Summit St, Oakland, CA 94609-3416 — (510) 612-0097
  • 3867 Howe St, Oakland, CA 94611-5343 — (510) 612-0097
  • 815 Hyde St, San Francisco, CA 94109-5996 — (510) 612-0097

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Psychologist Taxonomy 103T00000X

Record details

NPI number1366001034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Vakoch — Chief Executive Officer · (510) 612-0097
NPI enumeratedJune 6, 2019
Last updated in NPPESJanuary 12, 2020
Certification dateJanuary 12, 2020
Mailing address1918 Bonita Ave, Berkeley, CA 94704-1014

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