Green Psychotherapy, Pc

LBN: Green Psychotherapy, Pc
Green Psychotherapy, Pc is an health care organization with primary practice located at 2041 Bancroft Way Ste 202 , Berkeley CA 94704-1443. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Green Psychotherapy, Pc can be contacted via phone (510) 612-0097, or through Vakoch, Douglas via phone (510) 612-0097.

Contact Information

Primary practice address
2041 Bancroft Way Ste 202 Berkeley CA 94704-1443
Phone: (510) 612-0097
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vakoch, Douglas PH.D.
Phone: (510) 612-0097

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1366001034
LBN Legal business name Green Psychotherapy, Pc
DBA Doing business as
Authorized official Vakoch, Douglas PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2019
Last updated Jan 12th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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