Provider Demographics
NPI:1619481785
Name:BARNETT PSYCHOTHERAPY, ACADEMIC EDITING, AND SPIRITUAL DIRECTION
Entity Type:Organization
Organization Name:BARNETT PSYCHOTHERAPY, ACADEMIC EDITING, AND SPIRITUAL DIRECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/SOLE PROPRIET
Authorized Official - Prefix:DR
Authorized Official - First Name:BECCA
Authorized Official - Middle Name:FLEMING
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:415-395-6346
Mailing Address - Street 1:435 EUCLID AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2624
Mailing Address - Country:US
Mailing Address - Phone:415-395-6346
Mailing Address - Fax:855-204-1164
Practice Address - Street 1:435 EUCLID AVE APT 1
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2624
Practice Address - Country:US
Practice Address - Phone:415-395-6346
Practice Address - Fax:855-204-1164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-27
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20057261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPG007229000OtherBLUE SHIELD OF CALIFORNIA
CA8720261OtherCIGNA
CA2351177OtherCOMPSYCH
CA580725OtherMHN
CA601161101OtherMAGELLAN HEALTHCARE, INC.