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Active NPI 1487366506 Individual Practitioner Male Practitioner

Dr. Kanayo Agbodike , PhD

Psychoanalyst • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kanayo Agbodike, PhD is a registered healthcare professional specializing in Psychoanalyst in Berkeley, CA. Practice services are available at 1918 BONITA AVE STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1918 Bonita Ave Ste 200

Berkeley, CA 947041014

Telephone 5104713849
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychoanalyst in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 51.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Berkeley, CA (193 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-25
Psychoanalyst Primary Specialty

NUCC Taxonomy Code: 102L00000X

Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Heather Roselaren , LCSW, MPH

Social Worker - Clinical

NPI 1184662603

Licensed Clinical Social Worker, Master of Public Health

NPI 1225285034

Doctor of Medicine (M.D.)

Alexandra Sideroff , LMFT, LMHC

Marriage & Family Therapist

NPI 1356599831

Licensed Marriage and Family Therapist, Licensed Mental Health Counselor

Dr. Rachel Crothers , MD

Psychiatry & Neurology - Psychiatry

NPI 1376848705

Doctor of Medicine (M.D.)

Jessica Goodman

Social Worker - Clinical

NPI 1487198651
NPI 1578770996

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 25, 2023

Registered at 1918 BONITA AVE STE 200, BERKELEY, CA 947041014 (Tel: 5104713849)

📍
Updated Business Mailing Address February 25, 2023

Registered at 1918 BONITA AVE STE 200, BERKELEY, CA 947041014 (Tel: 5104713849)

NPI Profile Active December 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2022

Registered at 3924 NEVIL ST, OAKLAND, CA 946013824 (Tel: 5107032476)

📍
Updated Business Mailing Address December 20, 2022

Registered at 3924 NEVIL ST, OAKLAND, CA 946013824 (Tel: 5107032476)

👤
Provider Name / Credentials Updated December 20, 2022

Recorded as KANAYO AGBODIKE, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2022

Psychoanalyst

🟢
Initial NPI Registration & Enumeration December 20, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1487366506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2022
Last Update: February 25, 2023
Sole Proprietor: Yes

Mailing Address

1918 Bonita Ave Ste 200

Berkeley, CA 947041014

Phone: 5104713849

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.