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PENINSULA BEHAVIORAL HEALTH NPI 1316494883


NPI Information

NPI: 1316494883
Provider Name: PENINSULA BEHAVIORAL HEALTH
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 05D1065614

Address:
518 HAMILTON AVE
PALO ALTO, CA
ZIP 94301
Phone: (650) 427-0819
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PENINSULA BEHAVIORAL HEALTH is a clinical psychologist in Palo Alto, 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. PENINSULA BEHAVIORAL HEALTH NPI is 1316494883. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

518 HAMILTON AVE
PALO ALTO, CA
ZIP 94301-011
Phone: (650) 427-0819

The provider's authorized official is Robert Jay Schulz-heik .
The authorized official title is Partner and has the following contact phone number (303) 217-0819.

The CLIA number assigned to this NPI record is 05D1065614 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.


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 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

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