Provider Demographics
NPI:1821663980
Name:HAMILTON, SARAH ANN (APCC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 ADDISON ST STE 204
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1143
Mailing Address - Country:US
Mailing Address - Phone:510-899-7445
Mailing Address - Fax:510-647-9408
Practice Address - Street 1:7200 BANCROFT AVE STE 267
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-2408
Practice Address - Country:US
Practice Address - Phone:510-899-7445
Practice Address - Fax:510-647-9408
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14475101YM0800X
CAAPCC14475390200000X
CA20053101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program