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BAY AREA MHC PSYCHOLOGY PC NPI 1639796402


NPI Information

NPI: 1639796402
Provider Name: BAY AREA MHC PSYCHOLOGY PC

Doing Business As: BRIDGE TO BRIDGE PSYCHOTHERAPY GROUP

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
21 TAMAL VISTA BLVD STE 162
CORTE MADERA, CA
ZIP 94925
Phone: (415) 233-7990
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BAY AREA MHC PSYCHOLOGY PC is a clinical psychologist in Corte Madera, 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. BAY AREA MHC PSYCHOLOGY PC NPI is 1639796402. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bridge To Bridge Psychotherapy Group.

The provider's business location address is:

21 TAMAL VISTA BLVD STE 162
CORTE MADERA, CA
ZIP 94925-146
Phone: (415) 233-7990

The provider's authorized official is Nicolas Chu .
The authorized official title is Co-director and has the following contact phone number (415) 233-7990.

The enumeration date for this NPI number is 6/28/2020 and was last updated on 9/20/2021.


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: 4/28/2024

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