Nowik, Alisa Castleton
Nowik, Alisa Castleton is an sole proprietor health care provider with primary practice located at 3036 Regent Street , Berkeley CA 94705-2551. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nowik, Alisa Castleton can be contacted via phone (650) 644-5358.Contact Information
Primary practice address
3036 Regent Street
Berkeley CA 94705-2551
Phone: (650) 644-5358
Fax: (888) 841-0506
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY21587 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 016438 | New York |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY21587 | California |
Profile Details
NPI number | 1346292661 |
---|---|
LBN Legal business name | Nowik, Alisa Castleton |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 16th, 2006 |
Last updated | Dec 15th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346292661 | NPPES |
New York | Other | 016438 | NYS PSYD LICENSE # |
New York | Other | PSY 21587 | NYS PSYD LICENSE # |
New York | MEDICAID | 00355940 | NYS PSYD LICENSE # |
New York | Other | 461699 | NYS PSYD LICENSE # |
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