PERFORMANCE PSYCHOLOGY CENTER NPI 1982485413

NPI Information

  • NPI: 1982485413
  • Provider Name: PERFORMANCE PSYCHOLOGY CENTER
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2455 BENNETT VALLEY RD STE B208
    SANTA ROSA, CA
    ZIP 95404
  • Phone: (707) 583-9663

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NPI Details

PERFORMANCE PSYCHOLOGY CENTER is a mental health counselor in Santa Rosa, CA. PERFORMANCE PSYCHOLOGY CENTER NPI is 1982485413. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2455 BENNETT VALLEY RD STE B208
SANTA ROSA, CA
ZIP 95404-667
Phone: (707) 583-9663

The provider's authorized official is Joseph Puentes .
The authorized official title is Psychologist, Owner and has the following contact phone number (707) 583-9663.

The enumeration date for this NPI number is 10/10/2023 and was last updated on 10/10/2023.

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
1101YM0800XCounselorMental HealthYes

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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