ABILITY PSYCHOLOGICAL SERVICES, P.C. — NPI 1386327310 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities in OAKLAND, CA)

CMS-1500 Box 24J / 33a • NPI

1386327310

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103TM1800X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities

Box 32 Service Location & ZIP+4

1901 HARRISON ST STE 1100, OAKLAND, CA, 94612-3648

✓ 9-Digit EDI 837 ZIP+4 (94612-3648)

Practice Phone & Referral Fax

(510) 385-1646

Fax: (510) 401-3126

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1386327310 (ABILITY PSYCHOLOGICAL SERVICES, P.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1386327310` (NPI-2 Organization / Facility)
Provider / Legal Name	ABILITY PSYCHOLOGICAL SERVICES, P.C.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities NUCC Code: `103TM1800X` (Psychologist, Intellectual & Developmental Disabilities)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1901 HARRISON ST STE 1100, OAKLAND, CA, 94612-3648
Practice Telephone / Fax	Tel: (510) 385-1646 \| Fax: (510) 401-3126
Administrative Mailing Address	1901 HARRISON ST STE 1100, OAKLAND, CA, 94612-3648
Enumeration & Last Sync	Enumerated: 2023-08-08 \| CMS Record Updated: 2023-08-08
Authorized Official	NICOLE KIRSCH (CEO/Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1901 HARRISON ST STE 1100, OAKLAND, CA, 94612-3648

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Plain-English Taxonomy & CMS Crosswalk (103TM1800X)

What Does Taxonomy Code 103TM1800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TM1800X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Intellectual & Developmental Disabilities for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABILITY PSYCHOLOGICAL SERVICES, P.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: N/A \| License: `Verified` \| Primary: Secondary
`261QD1600X` — Clinic/Center, Developmental Disabilities Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0801X` — Clinic/Center, Mental Health (Including Community Mental Health Center) Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0850X` — Clinic/Center, Adult Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0855X` — Clinic/Center, Adolescent and Children Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`103TM1800X` — Psychologist, Intellectual & Developmental Disabilities Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Intellectual & Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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ABILITY PSYCHOLOGICAL SERVICES, P.C. (NPI #1386327310)