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MOMENTUM FOR MENTAL HEALTH - LA SELVA RESIDENTIAL NPI 1881813350


NPI Information

NPI: 1881813350
Provider Name: MOMENTUM FOR MENTAL HEALTH - LA SELVA RESIDENTIAL
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
652 FOREST AVE
PALO ALTO, CA
ZIP 94301
Phone: (650) 323-1401
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MOMENTUM FOR MENTAL HEALTH - LA SELVA RESIDENTIAL is a psychologist in Palo Alto, CA. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. MOMENTUM FOR MENTAL HEALTH - LA SELVA RESIDENTIAL NPI is 1881813350. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

652 FOREST AVE
PALO ALTO, CA
ZIP 94301-622
Phone: (650) 323-1401
Fax: (650) 323-1720

The provider's authorized official is Kevin Dewitt .
The authorized official title is Chief Financial Officer and has the following contact phone number (408) 642-6053.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 12/23/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistYes

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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