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SEQUOIA BEHAVIORAL HEALTH NPI 1467701649


NPI Information

NPI: 1467701649
Provider Name: SEQUOIA BEHAVIORAL HEALTH
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
10 JACKSON CT
NOVATO, CA
ZIP 94947
Phone: (415) 317-2343
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SEQUOIA BEHAVIORAL HEALTH is a clinical psychologist in Novato, 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. SEQUOIA BEHAVIORAL HEALTH NPI is 1467701649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 JACKSON CT
NOVATO, CA
ZIP 94947-532
Phone: (415) 317-2343

The provider's authorized official is Kimberly Ann Gauntlett .
The authorized official title is Executive Director and has the following contact phone number (415) 317-2343.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 9/5/2012.


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
1103TC0700XPsychologistClinicalPSY23692CALIFORNIAYes

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
11154638740OTHERCALIFORNIAMEDI-CAL

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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