Provider Demographics
NPI:1619357423
Name:UNIVERSITY OF CALIFORNIA COUNSELING AND PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:UNIVERSITY OF CALIFORNIA COUNSELING AND PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRE-DOCTORAL INTERN
Authorized Official - Prefix:
Authorized Official - First Name:HEATH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHECHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MED
Authorized Official - Phone:712-579-2873
Mailing Address - Street 1:2001 W 6TH ST
Mailing Address - Street 2:APT. G2
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1755
Mailing Address - Country:US
Mailing Address - Phone:712-579-2873
Mailing Address - Fax:
Practice Address - Street 1:2222 BANCROFT WAY
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-4301
Practice Address - Country:US
Practice Address - Phone:510-642-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty