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GREEN LOTUS PSYCHOTHERAPY & CONSULTING INC. NPI 1427477751


NPI Information

NPI: 1427477751
Provider Name: GREEN LOTUS PSYCHOTHERAPY & CONSULTING, INC.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
45175 PANORAMA DR
SUITE G
PALM DESERT, CA
ZIP 92260
Phone: (858) 344-2668
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GREEN LOTUS PSYCHOTHERAPY & CONSULTING, INC. is a clinical psychologist in Palm Desert, 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. GREEN LOTUS PSYCHOTHERAPY & CONSULTING, INC. NPI is 1427477751. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45175 PANORAMA DR
SUITE G
PALM DESERT, CA
ZIP 92260-482
Phone: (858) 344-2668
Fax: (760) 262-3026

The provider's authorized official is Jody Bantz .
The authorized official title is President/clinical Psychologist and has the following contact phone number (858) 344-2668.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 4/15/2014.


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
1103TC0700XPsychologistClinicalPSY20351CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10PL203510MEDICARE UPINCALIFORNIA
21295773232OTHERNPI-INDIVIDUAL

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.