Provider Demographics
NPI:1578397352
Name:THE BAY PSYCHOTHERAPY CENTER PC
Entity type:Organization
Organization Name:THE BAY PSYCHOTHERAPY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AXEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLE ALERHAND
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:628-400-7434
Mailing Address - Street 1:548 MARKET ST # 275191
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5401
Mailing Address - Country:US
Mailing Address - Phone:628-400-7434
Mailing Address - Fax:
Practice Address - Street 1:10781 CALLE MAR DE MARIPOSA
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-8656
Practice Address - Country:US
Practice Address - Phone:628-400-7434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty