Provider Demographics
NPI:1760810931
Name:BLUE ROCK INSTITUTE, A PSYCHOLOGICAL CORPORATION
Entity Type:Organization
Organization Name:BLUE ROCK INSTITUTE, A PSYCHOLOGICAL CORPORATION
Other - Org Name:SAN FRANCISCO FORENSIC INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RINKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-391-7171
Mailing Address - Street 1:870 MARKET ST STE 807
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2903
Mailing Address - Country:US
Mailing Address - Phone:415-391-7171
Mailing Address - Fax:415-391-7177
Practice Address - Street 1:870 MARKET ST STE 1107
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2920
Practice Address - Country:US
Practice Address - Phone:415-391-7171
Practice Address - Fax:415-391-7177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health