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Jonathan David Vasquez

Psychologist β€’ Berkeley, CA

Active NPI 1669208880 Individual Practitioner Male Practitioner
Practice location in NPPES

2020 Milvia St Ste 450
Berkeley, CA 947041297

Call 5102142110 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2020 Milvia St Ste 450

Berkeley, CA 947041297

Telephone 5102142110
Organization at the Same NPPES Address or Phone
Live Oak Psychological Services, Pc Facility NPI 1891558433

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Berkeley, CA; San Francisco, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Berkeley and California

118 active clinicians are listed under Psychologist with a practice address in Berkeley, CA (7,305 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Berkeley

6.8% of these 118 clinicians have the CMS telehealth indicator.

16.1% of these 118 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-28
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES CA 94029315

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

1918 University Ave Ste 2b

Berkeley, CA 947043264

Phone: 5105489716

3626 Balboa St

San Francisco, CA 941212604

Phone: 4156685955

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 28, 2026

Registered at 2020 MILVIA ST STE 450, BERKELEY, CA 947041297 (Tel: 5102142110)

πŸ“
Updated Business Mailing Address July 28, 2026

Registered at 2020 MILVIA ST STE 450, BERKELEY, CA 947041297 (Tel: 5102143593)

πŸ“
Updated Practice Location September 03, 2025

Registered at 3626 BALBOA ST, SAN FRANCISCO, CA 941212604 (Tel: 4156685955)

βœ…
NPI Profile Active September 12, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 12, 2024

Registered at 1918 UNIVERSITY AVE STE 2B, BERKELEY, CA 947043264 (Tel: 5105489716)

πŸ“
Business Mailing Address (Initial Record) September 12, 2024

Registered at 1918 UNIVERSITY AVE STE 2B, BERKELEY, CA 947043264 (Tel: 5105489716)

πŸ‘€
Provider Name / Credentials (Initial Record) September 12, 2024

Recorded as JONATHAN VASQUEZ

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration September 12, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669208880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2024
Last Update: July 28, 2026
Sole Proprietor: No

Other Psychologists in Berkeley

All Psychologists in Berkeley

Mailing Address

2020 Milvia St Ste 450

Berkeley, CA 947041297

Phone: 5102143593

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.