Provider Demographics
NPI:1073398715
Name:SINGLE THREAD PSYCHIATRY, A NURSING CORPORATION
Entity Type:Organization
Organization Name:SINGLE THREAD PSYCHIATRY, A NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:WILKIE
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:650-799-8361
Mailing Address - Street 1:2101 BRYANT ST APT 105
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2171
Mailing Address - Country:US
Mailing Address - Phone:650-799-8361
Mailing Address - Fax:
Practice Address - Street 1:2101 BRYANT ST APT 105
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2171
Practice Address - Country:US
Practice Address - Phone:650-799-8361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty