Active NPIIndividual providerSole proprietor

Ms. Jevon R Rice, PSYCH ASSISTANT

Student in an Organized Health Care Education/Training Program in Berkeley, California

NPI Number1932319522
Practice location
2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4304
Fax
510-642-2368
Last updated
December 14, 2020

Jevon Renee Rice is a Student in an Organized Health Care Education/Training Program based in Berkeley, CA. Jevon Renee Rice practices in Berkeley, CA and has the professional credentials of PSYCH ASSISTANT. The NPI Number for Jevon Renee Rice is 1932319522 and holds a License No. PSB94025534 (CA). The current practice location address for Jevon Renee Rice is 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4304 and can be reached out via phone at 510-642-9336 and via fax at 510-642-2368.

Provider Profile Details

NPI Number
1932319522
Provider Name
Jevon Renee Rice
Credential
PSYCH ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4304
Phone Number
510-642-9336
Fax Number
510-642-2368
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2007
Last Update Date
December 14, 2020
Certification Date
December 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2222 Bancroft Way Spc 4300
Berkeley, CA 94720-4304
Zip
94720-4304
Phone Number
510-642-9336
Fax Number
510-642-2368
Berkeley, CA 94720Get directions →

Provider Business Mailing Address Details

Address
2222 Bancroft Way Spc 4300
Berkeley, CA 94720-4304
City
Berkeley
State
CA
Zip
94720-4304
Phone Number
510-642-9336
Fax Number
510-642-2368

License Information

License Number (1)
PSB94025534
License State (1)
CA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
8143
License State (2)
MA
Taxonomy (2)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jevon R Rice, PSYCH ASSISTANT?

The NPI number of Ms. Jevon R Rice, PSYCH ASSISTANT is 1932319522. It was assigned on May 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Jevon R Rice, PSYCH ASSISTANT?

Ms. Jevon R Rice, PSYCH ASSISTANT is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in CA under license number PSB94025534.

Where does Ms. Jevon R Rice, PSYCH ASSISTANT practice?

The practice location is 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4304. The office can be reached at 510-642-9336 (phone) or 510-642-2368 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932319522 directly on the NPPES registry website.

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