| Optum Behavioral Care Of California, P.c. | |
|
2095 Van Ness Ave San Francisco CA 94109-3009 | |
| (415) 578-6210 | |
| (941) 460-5599 |
| Full Name | Optum Behavioral Care Of California, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2095 Van Ness Ave, San Francisco, California |
| Authorized Official Name and Position | Chelsea N Humphrey (CEO) |
| Authorized Official Contact | 8602684152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of California, P.c. 67 Burnside Ave East Hartford CT 06108-3408 Ph: (704) 506-6267 | Optum Behavioral Care Of California, P.c. 2095 Van Ness Ave San Francisco CA 94109-3009 Ph: (415) 578-6210 |
| NPI Number | 1053172833 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053172833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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