WELLSPRING PSYCHOLOGY PC NPI 1710394911

NPI Information

  • NPI: 1710394911
  • Provider Name: WELLSPRING PSYCHOLOGY PC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 409 ALBERTO WAY STE 5
    LOS GATOS, CA
    ZIP 95032
  • Phone: (408) 357-4102

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NPI Details

WELLSPRING PSYCHOLOGY PC is a clinical psychologist in Los Gatos, 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. WELLSPRING PSYCHOLOGY PC NPI is 1710394911. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

409 ALBERTO WAY STE 5
LOS GATOS, CA
ZIP 95032-407
Phone: (408) 357-4102

The provider's authorized official is Richard Joshua Maddox .
The authorized official title is Clinical Psychologist and has the following contact phone number (408) 357-4102.

The enumeration date for this NPI number is 7/20/2014 and was last updated on 10/2/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical25909CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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