Provider Demographics
NPI:1457715542
Name:PSYCHIATRIC CENTER FOR HUMAN CONCERNS
Entity Type:Organization
Organization Name:PSYCHIATRIC CENTER FOR HUMAN CONCERNS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD & ADOLESCENT PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:T
Authorized Official - Last Name:DAEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-690-4639
Mailing Address - Street 1:3181 STELLING DR
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-3961
Mailing Address - Country:US
Mailing Address - Phone:541-690-4639
Mailing Address - Fax:
Practice Address - Street 1:350 CAMBRIDGE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1550
Practice Address - Country:US
Practice Address - Phone:541-690-4639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA217602084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty