Individual provider · Type 1 NPI

Dianne Elise, PSY 12309

Clinical Psychologist · Oakland, CA

NPI number 1356290241 Active

Practice location

5349 College Ave
Oakland, CA 94618-1416

Call (510) 653-5575 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY12309 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1356290241

Dianne Elise, PSY 12309's National Provider Identifier is 1356290241, issued on Jan 24, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Oakland, CA. The record was last updated on Jan 24, 2026.