Provider Demographics
NPI:1083146237
Name:FEELING DOCTOR PSYCHOTHERAPY, APC
Entity Type:Organization
Organization Name:FEELING DOCTOR PSYCHOTHERAPY, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:AYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:800-460-9219
Mailing Address - Street 1:PO BOX 4136
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93403-4136
Mailing Address - Country:US
Mailing Address - Phone:800-460-9219
Mailing Address - Fax:800-460-9219
Practice Address - Street 1:1985 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-4131
Practice Address - Country:US
Practice Address - Phone:800-460-9219
Practice Address - Fax:800-460-9219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 16291251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP16291AMedicare PIN