SEA CHANGE PSYCHOTHERAPY INCORPORATED – NPI #1568185619
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Health Care Provider Taxonomy Code for Clinic/Center

SEA CHANGE PSYCHOTHERAPY INCORPORATED is an AHC clinic located in SAUSALITO, CA. NPPES has assigned the NPI number 1568185619 to SEA CHANGE PSYCHOTHERAPY INCORPORATED on September 23, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SEA CHANGE PSYCHOTHERAPY INCORPORATED below.

NPI Profile for
SEA CHANGE PSYCHOTHERAPY INCORPORATED

NPI Number
1568185619
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SEA CHANGE PSYCHOTHERAPY INCORPORATED
Primary location
164 DONAHUE ST
SAUSALITO, CA 94965
Phone: (415) 967-2025 Fax:
Mailing address
203 FLAMINGO RD #209
MILL VALLEY, CA 94941-4149
Phone: (415) 987-1187 Fax:
Organization Subpart
No
Authorized Official
TARA KLINE
PRESIDENT AD CEO
Phone: (415) 967-2025
Updated
Certification Date
Sep 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
www.taraklinepsyd.com
Endpoint type
CONNECT URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
268 BUSH ST,
SAN FRANCISCO, CA 77025-1669