DIVERSIFIED PSYCHOTHERAPY INC NPI 1215061072

NPI Information

  • NPI: 1215061072
  • Provider Name: DIVERSIFIED PSYCHOTHERAPY INC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 5199 E PACIFIC COAST HWY
    SUITE 615
    LONG BEACH, CA
    ZIP 90804
  • Phone: (562) 743-2789

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NPI Details

DIVERSIFIED PSYCHOTHERAPY INC is a clinical social worker in Long Beach, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. DIVERSIFIED PSYCHOTHERAPY INC NPI is 1215061072. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5199 E PACIFIC COAST HWY
SUITE 615
LONG BEACH, CA
ZIP 90804-302
Phone: (562) 743-2789
Fax: (562) 743-2789

The provider's authorized official is Michael Nava .
The authorized official title is Owner and has the following contact phone number (562) 743-2789.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalLCS 21160CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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