GARTH A COPENHAVER


Address: 295 A Fell Street, San Francisco, CA 94802
Phone: 4154500843

GARTH A COPENHAVER (NPI# 1255606059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255606059
Entity Type Individual
Full Name GARTH A COPENHAVER
Credential PSY.D.
Practice Address 295 A Fell Street
San Francisco
CA 94802
Practice Telephone 4154500843
Mailing Telephone 4154500843
Enumeration Date 2012-03-13
Last Update Date 2012-03-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY24808 CA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PSY24808 CA Behavioral Health & Social Service Providers

Office Location

Street Address 295 A FELL STREET
City SAN FRANCISCO
State CA
Zip Code 94802

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NPI Name Taxonomy Address Enumeration
1134439524 Scott Michael Percy Marriage & Family Therapist 13201 San Pablo Ave, #303, San Pablo, CA 94802 2010-10-19

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Competitor

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City SAN FRANCISCO
Zip Code 94802

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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