Therapeutic Integrative Psychotherapy Clinic, Inc. | |
2171 14th Ave San Francisco CA 94116-1840 | |
(323) 445-8900 | |
(323) 345-5778 |
Full Name | Therapeutic Integrative Psychotherapy Clinic, Inc. |
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Speciality | Psychologist |
Location | 2171 14th Ave, San Francisco, California |
Authorized Official Name and Position | Alan B Goodwin (PRESIDENT) |
Authorized Official Contact | 3234458900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Therapeutic Integrative Psychotherapy Clinic, Inc. 14320 Ventura Blvd # 1129 Sherman Oaks CA 91423-2717 Ph: (323) 445-8900 | Therapeutic Integrative Psychotherapy Clinic, Inc. 2171 14th Ave San Francisco CA 94116-1840 Ph: (323) 445-8900 |
NPI Number | 1427504281 |
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Provider Enumeration Date | 08/31/2016 |
Last Update Date | 12/03/2024 |
Certification Date | 12/03/2024 |
Medicare PECOS PAC ID | 2365720976 |
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Medicare Enrollment ID | O20161102002580 |
Identifier | Type | State | Issuer |
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1427504281 | NPI | - | NPPES |
1184002156 | Other | CA | NPI TYPE 1 |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Alan B Goodwin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1184002156 PECOS PAC ID: 5193012888 Enrollment ID: I20161102002842 |
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