Provider Demographics
NPI:1780362608
Name:DEEP INSIGHT PSYCHOLOGY, INC
Entity type:Organization
Organization Name:DEEP INSIGHT PSYCHOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEPTI
Authorized Official - Middle Name:H
Authorized Official - Last Name:VASWANI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:510-200-8334
Mailing Address - Street 1:3631 TRUXEL RD # 1037
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-3604
Mailing Address - Country:US
Mailing Address - Phone:510-200-8334
Mailing Address - Fax:
Practice Address - Street 1:5740 WINDMILL WAY STE 8
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-1379
Practice Address - Country:US
Practice Address - Phone:510-200-8334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)