| Center For Depth Psychology, Inc. | |
|
1400 Quail St Suite 210 Newport Beach CA 92660-2730 | |
| (714) 290-1506 | |
| (949) 752-7636 |
| Full Name | Center For Depth Psychology, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 Quail St, Newport Beach, California |
| Authorized Official Name and Position | Steven Harris (PRESIDENT) |
| Authorized Official Contact | 7142901506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Depth Psychology, Inc. 1400 Quail St Suite 210 Newport Beach CA 92660-2730 Ph: (714) 290-1506 | Center For Depth Psychology, Inc. 1400 Quail St Suite 210 Newport Beach CA 92660-2730 Ph: (714) 290-1506 |
| NPI Number | 1467762450 |
|---|---|
| Provider Enumeration Date | 10/09/2010 |
| Last Update Date | 10/09/2010 |
| Medicare PECOS PAC ID | 0941469944 |
|---|---|
| Medicare Enrollment ID | O20120312000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467762450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PSY13471 (California) | Primary |
| Provider Name | Steven M Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487673927 PECOS PAC ID: 6901065903 Enrollment ID: I20120312000271 |
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