Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THERAPEUTIC INTEGRATIVE PSYCHOTHERAPY CLINIC, INC.
Active
Organization
THERAPEUTIC INTEGRATIVE PSYCHOTHERAPY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN B GOODWIN PH.D. (PRESIDENT)
(323) 445-8900
Entity
Organization
Contact information
Practice address
2171 14TH AVE, SAN FRANCISCO, CA 94116-1840
(323) 445-8900
(323) 345-5778
Mailing address
14320 VENTURA BLVD # 1129, SHERMAN OAKS, CA 91423-2717
(323) 445-8900
(323) 345-5778
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184002156
NPI TYPE 1
CA
Enumeration date
08/31/2016
Last updated
12/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up