Provider Demographics
NPI:1871986554
Name:CENTER FOR PSYCHOTHERAPY
Entity type:Organization
Organization Name:CENTER FOR PSYCHOTHERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:SUGARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:415-922-4815
Mailing Address - Street 1:3637 SACRAMENTO ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1723
Mailing Address - Country:US
Mailing Address - Phone:415-922-4815
Mailing Address - Fax:415-922-4438
Practice Address - Street 1:3637 SACRAMENTO ST
Practice Address - Street 2:SUITE F
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1723
Practice Address - Country:US
Practice Address - Phone:415-922-4815
Practice Address - Fax:415-922-4438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT17611106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty