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PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES INC NPI 1790325694


NPI Information

NPI: 1790325694
Provider Name: PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
19230 SONOMA HIGHWAY
BUILDING 200
SONOMA, CA
ZIP 95476
Phone: (916) 224-0212
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PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC is an adult mental health clinic center in Sonoma, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PACIFIC FORENSIC PSYCHOLOGY ASSOCIATES, INC NPI is 1790325694. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19230 SONOMA HIGHWAY
BUILDING 200
SONOMA, CA
ZIP 95476
Phone: (916) 224-0212

The provider's authorized official is Tony Angelo .
The authorized official title is President / Principle and has the following contact phone number (707) 395-4500.

The enumeration date for this NPI number is 1/9/2020 and was last updated on 1/9/2020.


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
1103TB0200XPsychologistCognitive & BehavioralNo
2251S00000XCommunity/Behavioral HealthNo
3261QM0850XClinic/CenterAdult Mental HealthYes
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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: 5/5/2024

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