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

Roni Khol, PSYD

Individual provider Clinical Psychologist · NPI 1336773506

Roni Khol, PSYD is a Clinical Psychologist in Oakland, California. Qualified in 2019, 7 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2220 Mountain Blvd Ste 240
Oakland, CA 94611-2905
Phone: (510) 500-5470
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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 PSB94025313 (CA)

Record details

NPI number1336773506
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedFebruary 26, 2020
Last updated in NPPESSeptember 7, 2025
Certification dateSeptember 7, 2025
Mailing address5665 College Ave Ste 240e, Oakland, CA 94618-1647

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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