Organization
OCTAVE BEHAVIORAL PA
Active
Parent organization
OCTAVE BEHAVIORAL PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCTAVE BEHAVIORAL PA
Authorized official
KYM EVERETT (VP REVENUE OPERATIONS)
(650) 504-2289
Entity
Organization
Contact information
Practice address
225 ASYLUM ST FL 20, HARTFORD, CT 06103-1532
(415) 360-3833
(628) 234-3048
Mailing address
625 MARKET ST, SAN FRANCISCO, CA 94105-3302
(650) 504-2289
(628) 234-3048
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
06/26/2025
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