KORY STOTESBERY DO INC. NPI 1295193670

NPI Information

  • NPI: 1295193670
  • Provider Name: KORY STOTESBERY DO, INC.
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Doing Business As: SF BAY PSYCHIATRY
  • Address: 1501 N BROADWAY
    SUITE 200
    WALNUT CREEK, CA
    ZIP 94596
  • Phone: (925) 322-0418

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NPI Details

KORY STOTESBERY DO, INC. is an adolescent and children mental health clinic center in Walnut Creek, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. KORY STOTESBERY DO, INC. NPI is 1295193670. The provider is registered as an organization entity type.
The provider Is Doing Business As Sf Bay Psychiatry.

The provider's business location address is:

1501 N BROADWAY
SUITE 200
WALNUT CREEK, CA
ZIP 94596-296
Phone: (925) 322-0418

The provider's authorized official is Kory Stotesbery .
The authorized official title is President and has the following contact phone number (925) 322-0418.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 2/1/2016.

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
1261QM0850XClinic/CenterAdult Mental Health20A12798CALIFORNIANo
2261QM0855XClinic/CenterAdolescent and Children Mental Health20A12798CALIFORNIAYes

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: 3/30/2025

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