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GREEN LEAF A PSYCHOLOGICAL SERVICES CORPORATION NPI 1639715907


NPI Information

NPI: 1639715907
Provider Name: GREEN LEAF, A PSYCHOLOGICAL SERVICES CORPORATION
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
302 VILLAGE SQ
ORINDA, CA
ZIP 94563
Phone: (925) 386-6037
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GREEN LEAF, A PSYCHOLOGICAL SERVICES CORPORATION is a mental health counselor in Orinda, CA. GREEN LEAF, A PSYCHOLOGICAL SERVICES CORPORATION NPI is 1639715907. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

302 VILLAGE SQ
ORINDA, CA
ZIP 94563-506
Phone: (925) 386-6037

The provider's authorized official is David James Mccollum .
The authorized official title is Practice Manager and has the following contact phone number (925) 386-6037.

The enumeration date for this NPI number is 11/21/2019 and was last updated on 11/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes
2103T00000XPsychologistNo
3103TB0200XPsychologistCognitive & BehavioralNo
4103TC0700XPsychologistClinicalNo
5103TC2200XPsychologistClinical Child & AdolescentNo
6103TF0000XPsychologistFamilyNo
7103TS0200XPsychologistSchoolNo
8104100000XSocial WorkerNo
91041S0200XSocial WorkerSchoolNo
10106H00000XMarriage & Family TherapistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.