Performance Psychology Center

LBN: Performance Psychology Center
Performance Psychology Center is an health care organization with primary practice located at 2455 Bennett Valley Rd Ste B208 , Santa Rosa CA 95404-5667. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Performance Psychology Center can be contacted via phone (707) 583-9663, or through Puentes, Joseph via phone (707) 583-9663.

Contact Information

Primary practice address
2455 Bennett Valley Rd Ste B208 Santa Rosa CA 95404-5667
Phone: (707) 583-9663
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Puentes, Joseph PSY.D.
Phone: (707) 583-9663

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1982485413
LBN Legal business name Performance Psychology Center
DBA Doing business as
Authorized official Puentes, Joseph PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2023
Last updated Oct 10th, 2023 - about last year

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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