Provider Demographics
NPI:1811754476
Name:NATHANIEL SILVEIRA-PYZIK LICENSED PROFESSIONAL CLINICAL COUNSELOR PC
Entity type:Organization
Organization Name:NATHANIEL SILVEIRA-PYZIK LICENSED PROFESSIONAL CLINICAL COUNSELOR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:SILVEIRA-PYZIK
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:650-762-8741
Mailing Address - Street 1:1350 CHERRY ST STE 4
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-3008
Mailing Address - Country:US
Mailing Address - Phone:650-762-8741
Mailing Address - Fax:650-683-6613
Practice Address - Street 1:1350 CHERRY ST STE 4
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-3008
Practice Address - Country:US
Practice Address - Phone:650-762-8741
Practice Address - Fax:650-683-6613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty