Provider Demographics
NPI:1407212582
Name:NAIKAN COUNSELING CENTER
Entity Type:Organization
Organization Name:NAIKAN COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:831-392-7064
Mailing Address - Street 1:PO BOX 2674
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95001
Mailing Address - Country:US
Mailing Address - Phone:831-392-7064
Mailing Address - Fax:831-621-5440
Practice Address - Street 1:3319B MISSION DRIVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065
Practice Address - Country:US
Practice Address - Phone:831-392-7064
Practice Address - Fax:831-621-5440
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IO RO INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-05
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 48570251S00000X
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health