Organization
OCTAVE BEHAVIORAL MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYM EVERETT (VP, REVENUE OPERATIONS)
(650) 504-2289
Entity
Organization
Contact information
Practice address
8825 N 23RD AVE STE 100, PHOENIX, AZ 85021-4148
(415) 360-3833
(628) 234-3048
Mailing address
625 MARKET ST FL 15, SAN FRANCISCO, CA 94105-3316
(415) 360-3833
(628) 234-3048
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
06/26/2025
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