Journey Of Life Psychological, Inc.

LBN: Journey Of Life Psychological, Inc.
Journey Of Life Psychological, Inc. is an health care organization with primary practice located at 13847 E 14Th St Ste 202 , San Leandro CA 94578-2626. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Journey Of Life Psychological, Inc. can be contacted via phone (510) 564-5955, or through Outlaw, Jaseon via phone (510) 463-1302.

Contact Information

Primary practice address
13847 E 14Th St Ste 202 San Leandro CA 94578-2626
Phone: (510) 564-5955
Fax: (510) 817-4112
Website:
Map and Directions
Authorized official contact:
Name: Outlaw, Jaseon PH.D
Phone: (510) 463-1302

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1073122958
LBN Legal business name Journey Of Life Psychological, Inc.
DBA Doing business as
Authorized official Outlaw, Jaseon PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2020
Last updated Jul 28th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073122958 NPPES
California MEDICAID CA228465

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