THEODORE OWEN ATWOOD
NPI 1912533571
Counselor in Oakland, CA

NPI Status: Active since March 16, 2020

Contact Information

390 40TH ST
OAKLAND, CA
ZIP 94609
Phone: (510) 613-0330

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  • Individual
  • Male
  • Counselor
  • PECOS Enrolled

About THEODORE ATWOOD

This page provides the complete NPI Profile along with additional information for Theodore Atwood, a provider established in Oakland, California with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1912533571 assigned on March 2020. The practitioner's primary taxonomy code is 101Y00000X with license number 93126 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1912533571
Provider Name
THEODORE OWEN ATWOOD
Gender
Male
Entity Type
Individual
Location Address
390 40TH ST OAKLAND, CA 94609
Location Phone
(510) 613-0330
Mailing Address
390 40TH ST OAKLAND, CA 94609
Mailing Phone
(510) 613-0330
Is Sole Proprietor?
No
Enumeration Date
03-16-2020
Last Update Date
03-16-2020
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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

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
93126
License State
CA
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Medicare Participation & PECOS Enrollment Status

Theodore Atwood 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

  • 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 THEODORE OWEN ATWOOD

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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.
1912533571
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29221036514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 0 + 3 + 6 + 5 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1912533571 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891852133 JESSICA BETH JOHNSON MA, MFTI
Individual
Marriage & Family Therapist390 40TH ST
OAKLAND, CA 94609
(925) 788-3103
1245365626MS. ERICA ANN CHAMBRE MFT
Individual
Marriage & Family Therapist390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1861527202 DEANNA MARIE BERNARD MSW
Individual
Social Worker (Clinical)390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1174659395 DENISE GAGNON
Individual
Counselor (Mental Health)390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1265568729 CHRISTINE MCCAFFREY RN
Individual
Registered Nurse390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1134256365 ANTHONY GRAEME DANIELS MFT
Individual
Marriage & Family Therapist390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1346377538 MARK ANDREW FERNANDEZ RN
Individual
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1235266164 SONIA STUART
Individual
Counselor (Mental Health)390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1386771210 WILLIAM NUNLEY
Individual
Counselor (Mental Health)390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1588791487 WAJEEDAH HAMEED
Individual
Counselor (Addiction (Substance Use Disorder))390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1629271499MS. JENNIFER TRAVERS SHALLAT LCSW
Individual
Social Worker (Clinical)390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1588863666 JONATHAN MORGAN PARKER
Individual
Counselor (Mental Health)390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1427239805 LISA JOANNE CURTIS-WALKER
Individual
Counselor (Addiction (Substance Use Disorder))390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1295992980 FRANCI ABRAHAM PIERCE
Individual
Counselor (Mental Health)390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1215198353 DEBORAH G. LANE
Individual
Counselor (Mental Health)390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1568697647 CHARLES VERDELL WILLIAMS
Individual
Counselor (Mental Health)390 40TH ST
OAKLAND, CA 94609
(510) 667-3684
1235367632 MICHAEL ALEXANDER BALESTRIERI
Individual
Counselor (Mental Health)390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1336371103 GERALD J SLAUGHTER
Individual
Counselor (Addiction (Substance Use Disorder))390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1710110721 JULIAN C PROCTOR
Individual
Counselor (Mental Health)390 40TH ST
OAKLAND, CA 94609
(510) 653-5040
1912130402 MICHAEL JOHN MOFRAN
Individual
Counselor (Addiction (Substance Use Disorder))390 40TH ST
OAKLAND, CA 94609
(510) 653-5040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912533571, enumerated in the NPI registry as an "individual" on March 16, 2020

The provider is located at 390 40th St Oakland, Ca 94609 and the phone number is (510) 613-0330

The provider's speciality is Counselor with taxonomy code 101Y00000X

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).

This NPI record was last updated on March 16, 2020. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.