Provider Demographics
NPI:1700652583
Name:WHOLE PERSON PSYCHOLOGY GROUP
Entity Type:Organization
Organization Name:WHOLE PERSON PSYCHOLOGY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:MORELLI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:415-812-2372
Mailing Address - Street 1:1401 21ST ST STE 6429
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-5226
Mailing Address - Country:US
Mailing Address - Phone:530-447-0746
Mailing Address - Fax:
Practice Address - Street 1:1401 21ST ST STE 6429
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-5226
Practice Address - Country:US
Practice Address - Phone:530-447-0746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty