CODEPENDENCY PSYCHOTHERAPY CLINIC


Address: 1926 Park St Ste 2, Alameda, CA 94501-1420
Phone: 8589227337

CODEPENDENCY PSYCHOTHERAPY CLINIC (NPI# 1427688548) 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) 1427688548
Entity Type Organization
Organization Name CODEPENDENCY PSYCHOTHERAPY CLINIC
Practice Address 1926 Park St Ste 2
Alameda
CA 94501-1420
Practice Telephone 8589227337
Mailing Telephone 8589227337
Enumeration Date 2020-01-16
Last Update Date 2020-01-16
Authorized Official Name DR. RACHEL ROSENFELD (PSYCHOLOGIST)
Authorized Official Telephone 8589227337
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA 1932380235 05

Other Provider/Organization Names

Other Name Type Code
The Codependency Clinic Doing Business As Name - Organization

Office Location

Street Address 1926 PARK ST STE 2
City ALAMEDA
State CA
Zip Code 94501-1420

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City ALAMEDA
Zip Code 94501

Improve Information

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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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