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Contact Information

MYSAFESPACE PROFESSIONAL INC: A PSYCHOLOGY CORPORATION
1615 POLK ST STE 3
SAN FRANCISCO, CA94109-3698
 Phone: 415-237-3598
 Fax: 628-388-3011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Adult Mental Health

261QM0850X
 

Behavior Analyst

103K00000X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for MYSAFESPACE PROFESSIONAL INC: A PSYCHOLOGY CORPORATION

NPI # 1639925936
LBN Legal business name MYSAFESPACE PROFESSIONAL INC: A PSYCHOLOGY CORPORATION
Authorized official ENOWOGHOMWENMA OSAGHAE - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2024
Last updated 10/03/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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