Provider Demographics
NPI:1265975569
Name:BAY PSYCHOTHERAPY INC
Entity type:Organization
Organization Name:BAY PSYCHOTHERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:415-509-6286
Mailing Address - Street 1:2010 EDDY ST
Mailing Address - Street 2:APT C
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3998
Mailing Address - Country:US
Mailing Address - Phone:415-509-6286
Mailing Address - Fax:415-985-7444
Practice Address - Street 1:2010 EDDY ST APT C
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3999
Practice Address - Country:US
Practice Address - Phone:415-509-6286
Practice Address - Fax:415-985-7444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23643103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty