NUMINOUS PSYCHOTHERAPY INC NPI 1861389850

NPI Information

  • NPI: 1861389850
  • Provider Name: NUMINOUS PSYCHOTHERAPY INC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 27000 N HIGHWAY 1
    FORT BRAGG, CA
    ZIP 95437
  • Phone: (530) 310-7818

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NPI Details

NUMINOUS PSYCHOTHERAPY INC is a clinical psychologist in Fort Bragg, 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. NUMINOUS PSYCHOTHERAPY INC NPI is 1861389850. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

27000 N HIGHWAY 1
FORT BRAGG, CA
ZIP 95437-900
Phone: (530) 310-7818

The provider's authorized official is Ashley Taggart Krueger .
The authorized official title is Office Coordinator and has the following contact phone number (209) 227-4914.

The enumeration date for this NPI number is 6/21/2025 and was last updated on 7/3/2025.

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
1103TH0004XPsychologistHealthNo
2103TP0814XPsychologistPsychoanalysisNo
3102L00000XPsychoanalystNo
4103T00000XPsychologistNo
5103TA0700XPsychologistAdult Development & AgingNo
6103TB0200XPsychologistCognitive & BehavioralNo
7103TC1900XPsychologistCounselingNo
8103TC0700XPsychologistClinicalYes

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: 11/21/2025

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