| Brave Space Therapy Inc | |
|
2220 Mountain Blvd Ste 240 Oakland CA 94611-2905 | |
| (510) 500-5470 | |
| Not Available |
| Full Name | Brave Space Therapy Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2220 Mountain Blvd Ste 240, Oakland, California |
| Authorized Official Name and Position | Roni Khol (OWNER) |
| Authorized Official Contact | 5105005470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Space Therapy Inc 5665 College Ave Ste 240e Oakland CA 94618-1647 Ph: (510) 500-5470 | Brave Space Therapy Inc 2220 Mountain Blvd Ste 240 Oakland CA 94611-2905 Ph: (510) 500-5470 |
| NPI Number | 1346940491 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 09/07/2025 |
| Certification Date | 09/07/2025 |
| Medicare PECOS PAC ID | 3072016948 |
|---|---|
| Medicare Enrollment ID | O20250915003307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346940491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (NU) | Primary |
| Provider Name | Akshay Naresh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992187496 PECOS PAC ID: 7517460488 Enrollment ID: I20250915003658 |
| Provider Name | Roni Khol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336773506 PECOS PAC ID: 8426551391 Enrollment ID: I20250916001110 |
Chaparral Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2100 Lakeshore Ave Ste C, Oakland, CA 94606 Phone: 510-971-0799 |
Resonant Source Therapy, Training and Consultation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Bellevue Ave Ste 202, Oakland, CA 94610 Phone: 347-489-1996 |
La Familia Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3315 International Blvd, Oakland, CA 94601 Phone: 510-300-3500 Fax: 844-830-2656 |
Berkeley Place Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Fairmount Ave, Oakland, CA 94611 Phone: 510-839-3769 Fax: 510-839-3500 |
Lara Weyland, Ph.d., Clinical Psychology, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2220 Mountain Blvd, Suite 240, Oakland, CA 94611 Phone: 510-531-5354 Fax: 510-222-3508 |
Lincoln Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Chestnut St, Oakland, CA 94607 Phone: 510-273-4700 |