# BIRCH PSYCHIATRIC SERVICES A NURSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124465398
- **Authorized official:** JENNIFER BIRCH PMHNP (CEO)
- **Authorized official phone:** (510) 599-9421

## Contact information

- **Practice address:** 2397 SHATTUCK AVE STE 206, BERKELEY, CA 94704-1567
- **Practice address phone:** (510) 599-9421
- **Mailing address:** 2397 SHATTUCK AVE STE 206, BERKELEY, CA 94704-1567
- **Mailing address phone:** (510) 599-9421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 18162 | CA | Yes |

## Other

- **Enumeration date:** 05/29/2013
- **Last updated:** 04/16/2019