Wise Psychology Services, Inc.

LBN: Wise Psychology Services, Inc.
Wise Psychology Services, Inc. is an health care organization with primary practice located at 1108 Tamalpais Ave Ste A , San Rafael CA 94901-3247. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Wise Psychology Services, Inc. can be contacted via phone (415) 226-6154, or through Wise, Karen via phone (415) 226-6154.

Contact Information

Primary practice address
1108 Tamalpais Ave Ste A San Rafael CA 94901-3247
Phone: (415) 226-6154
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wise, Karen PSYD
Phone: (415) 226-6154

Health care specialties

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

Profile Details

NPI number 1275394793
LBN Legal business name Wise Psychology Services, Inc.
DBA Doing business as
Authorized official Wise, Karen PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2024
Last updated Jan 22nd, 2024 - about 10 months 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 1275394793 NPPES
California MEDICAID 1700058294

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