Lorraine Carol Niles
Mental Health
3310 Robinson Drive
Oakland
, California 94602-4136
Lorraine Carol Niles
Mental Health
3310 Robinson Drive
Oakland
, California 94602-4136
(408) 821-9165
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Lorraine Carol Niles
- 3310 Robinson Drive
- Oakland, CA
- Zip : 94602-4136
- Phone : (408) 821-9165
Second Address
- Lorraine Carol Niles
- 3310 Robinson Drive
- Oakland, CA
- Zip : 94602-4136
- Phone : (408) 821-9165
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health | OT 11629 | CA |
National Provider Identifier
| NPI | 1508139684 |
|---|---|
| Provider Name | Lorraine Carol Niles |
| First Address | Oakland, CA 94602-4136 |
| Second Address | Oakland, CA 94602-4136 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2012 |
| Last Update Date | 20/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1558392423 | MEDICARE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.