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WELLSTONE HEALING CENTER NPI 1295308203


NPI Information

NPI: 1295308203
Provider Name: WELLSTONE HEALING CENTER
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1801 BUSH ST STE 209
SAN FRANCISCO, CA
ZIP 94109
Phone: (415) 323-0161
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WELLSTONE HEALING CENTER is a clinical psychologist in San Francisco, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. WELLSTONE HEALING CENTER NPI is 1295308203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 BUSH ST STE 209
SAN FRANCISCO, CA
ZIP 94109-297
Phone: (415) 323-0161
Fax: (415) 326-8085

The provider's authorized official is Elena Noelle Gomez .
The authorized official title is Founder and has the following contact phone number (415) 323-0161.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 10/25/2021.


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
1103TC0700XPsychologistClinicalYes

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: 11/14/2023

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.