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

Dianne Elise, PSY12309

Individual provider Clinical Psychologist · NPI 1356290241

Dianne Elise, PSY12309 is a Clinical Psychologist in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

5349 College Ave
Oakland, CA 94618-1416
Phone: (510) 653-5575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY12309 (CA)

Record details

NPI number1356290241
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSY12309
Sole proprietorYes
NPI enumeratedJanuary 24, 2026
Last updated in NPPESJanuary 24, 2026
Certification dateJanuary 24, 2026

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