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
THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC
Active
Organization
THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC
Active
Parent organization
THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC
Authorized official
ELIZABETH PORTER (DIRECTOR OF OPERATIONS)
(831) 600-7103
Entity
Organization
Contact information
Practice address
2500 MARKET ST, SAN FRANCISCO, CA 94114-1915
(415) 931-3731
(415) 931-3739
Mailing address
603 MISSION ST, SANTA CRUZ, CA 95060-3612
(831) 600-7103
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY24204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407120579
—
CA
Enumeration date
07/30/2018
Last updated
02/01/2021
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