Provider Demographics
NPI:1134802226
Name:DR. SHUFANG TSAI PSYCHOLOGIST, INC
Entity type:Organization
Organization Name:DR. SHUFANG TSAI PSYCHOLOGIST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHUFANG
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:510-684-5797
Mailing Address - Street 1:415 CORNELL AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1277
Mailing Address - Country:US
Mailing Address - Phone:510-684-5797
Mailing Address - Fax:833-411-1278
Practice Address - Street 1:415 CORNELL AVE APT 204
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1277
Practice Address - Country:US
Practice Address - Phone:510-684-5797
Practice Address - Fax:833-411-1278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty