Provider Demographics
NPI:1083310478
Name:QUEST FAMILY PSYCHOTHERAPY, PC
Entity Type:Organization
Organization Name:QUEST FAMILY PSYCHOTHERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:V
Authorized Official - Last Name:GIAMMATTEI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:707-243-3914
Mailing Address - Street 1:1049 4TH ST STE G
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-4345
Mailing Address - Country:US
Mailing Address - Phone:707-243-3914
Mailing Address - Fax:415-729-1670
Practice Address - Street 1:2014 10TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1303
Practice Address - Country:US
Practice Address - Phone:707-243-3914
Practice Address - Fax:415-729-1670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty