MEDICARE: LEAN PSYCHOLOGICAL CALIFORNIA, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103G00000X	Clinical Neuropsychologist
2	103T00000X	Psychologist
3	2084P0800X	Psychiatry Physician
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1124974472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEAN PSYCHOLOGICAL CALIFORNIA, PC

Provider Business Mailing Address
First Line	:	301 MISSION ST APT 21F
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94105-6650
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 MISSION ST APT 21F
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94105-6650
Country	:	US
Telephone Number	:	650-465-1006
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	DR. BRITNEY BLAIR
Credential	:	PSYD
Telephone Number	:	650-465-1006

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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