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Contact Information

GREEN LEAF, A PSYCHOLOGICAL SERVICES CORPORATION
302 VILLAGE SQ
ORINDA, CA94563-2506
 Phone: 925-386-6037
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

School

1041S0200X
 

School

103TS0200X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for GREEN LEAF, A PSYCHOLOGICAL SERVICES CORPORATION

NPI Number 1639715907
LBN Legal business name GREEN LEAF, A PSYCHOLOGICAL SERVICES CORPORATION
Authorized official DAVID MCCOLLUM - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2019
Last updated 11/21/2019 - About 7 years 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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