DR. JACQUELINE BUNKER PERSONS
NPI 1447567417
Psychologist - Cognitive & Behavioral in Oakland, CA
NPI Status: Active since September 10, 2010
Contact Information
5435 COLLEGE AVE
SUITE 102
OAKLAND, CA
ZIP 94618
Phone: (510) 652-4455
Fax: (510) 380-2988
- Individual
- Female
- Psychologist
- Cognitive & Behavioral
- PECOS Enrolled
- Opted-Out Medicare
About JACQUELINE PERSONS
This page provides the complete NPI Profile along with additional information for Jacqueline Persons, a provider established in Oakland, California with a medical specialization in Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1447567417 assigned on September 2010. The practitioner's primary taxonomy code is 103TB0200X with license number PSY7275 (CA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1447567417
- Provider Name
- DR. JACQUELINE BUNKER PERSONS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5435 COLLEGE AVE SUITE 102 OAKLAND, CA 94618
- Location Phone
- (510) 652-4455
- Location Fax
- (510) 380-2988
- Mailing Address
- 5625 COLLEGE AVE SUITE 215 OAKLAND, CA 94618
- Mailing Phone
- (510) 992-4040
- Mailing Fax
- (510) 380-2988
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-10-2010
- Last Update Date
- 04-07-2016
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jacqueline Persons opted out of Medicare effective on 01-01-2014 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Cognitive & Behavioral
- Taxonomy Code
- 103TB0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY7275
- License State
- CA
- Taxonomy Description
- A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Medicare Participation & PECOS Enrollment Status
Jacqueline Persons is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2014
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. JACQUELINE BUNKER PERSONS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 4 | 7 | 5 | 6 | 7 | 4 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 10 | 6 | 14 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 1 + 0 + 6 + 1 + 4 + 4 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1447567417 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396898417 | PHYLLIS ANNE MACE M.F.T. Individual | Marriage & Family Therapist | 5435 COLLEGE AVE SUITE 202-5 OAKLAND, CA 94618 (510) 704-8455 |
| 1730397043 | MR. ROBERT L GORDEN MSW Individual | Social Worker (Clinical) | 5435 COLLEGE AVE SUITE 107 OAKLAND, CA 94618 (510) 547-8830 |
| 1255541199 | DR. JEFFREY GILE SHARP PH.D. Individual | Psychologist (Clinical) | 5435 COLLEGE AVE SUITE 202 OAKLAND, CA 94618 (510) 653-5233 |
| 1841488624 | MONICA Z. NOWAKOWSKI-CARLSON LCSW Individual | Social Worker (Clinical) | 5435 COLLEGE AVE 103 OAKLAND, CA 94618 (510) 234-4100 |
| 1669639936 | SHARON STAFANSON PSY.D. Individual | Psychologist | 5435 COLLEGE AVE SUITE 202-6 OAKLAND, CA 94618 (510) 219-3029 |
| 1427289628 | DR. ALAN ANTHONY VITOLO PH.D. Individual | Psychologist | 5435 COLLEGE AVE SUITE 202-6 OAKLAND, CA 94618 (510) 547-7669 |
| 1548563513 | LINDA EILEEN KELLER PH.D. Individual | Psychologist (Clinical) | 5435 COLLEGE AVE #201 OAKLAND, CA 94618 (510) 654-2420 |
| 1942574892 | DR. DANIEL NATHAN WEINER PH.D. Individual | Psychologist | 5435 COLLEGE AVE SUITE 105 OAKLAND, CA 94618 (510) 652-4455 |
| 1932545639 | DANIELA OWEN PH.D. Individual | Psychologist (Clinical) | 5435 COLLEGE AVE SUITE 104 OAKLAND, CA 94618 (510) 652-4455 |
| 1275940140 | DR. MICHAEL A. TOMPKINS PH.D. Individual | Psychologist (Clinical) | 5435 COLLEGE AVE SUITE 100-2 OAKLAND, CA 94618 (510) 652-4455 |
| 1932412038 | EMILY BERNER LMFT Individual | Marriage & Family Therapist | 5435 COLLEGE AVE SUITE 110 OAKLAND, CA 94618 (510) 410-9928 |
| 1356605521 | MR. ERIC WILLIAM MILL M.A. Individual | Marriage & Family Therapist | 5435 COLLEGE AVE SUITE 202-7 OAKLAND, CA 94618 (415) 889-8441 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447567417, enumerated in the NPI registry as an "individual" on September 10, 2010
The provider is located at 5435 College Ave Suite 102 Oakland, Ca 94618 and the phone number is (510) 652-4455
The provider's speciality is Psychologist with taxonomy code 103TB0200X with a focus in Cognitive & Behavioral
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
No, the provider signed an affidavit on January 01, 2014 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.
This NPI record was last updated on September 10, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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