Provider Demographics
NPI:1306053905
Name:KRONGOLD, KAREN (PSYD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:KRONGOLD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:SHARIFA
Other - Middle Name:
Other - Last Name:KRONGOLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6142 HILLEGASS AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1237
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6142 HILLEGASS AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1237
Practice Address - Country:US
Practice Address - Phone:510-827-1425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26961103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical