Provider Demographics
NPI:1013633148
Name:TRANSCEND PSYCHOTHERAPY
Entity Type:Organization
Organization Name:TRANSCEND PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:510-541-4837
Mailing Address - Street 1:1124 EL CAMINO REAL APT 9
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4945
Mailing Address - Country:US
Mailing Address - Phone:510-541-4837
Mailing Address - Fax:
Practice Address - Street 1:1117 S B ST STE 4
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-4351
Practice Address - Country:US
Practice Address - Phone:510-541-4837
Practice Address - Fax:650-431-2157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1396003752OtherNPPES