Healthcare Provider Details

I. General information

NPI: 1598622946
Provider Name (Legal Business Name): RESOLVE PSYCHOLOGICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 DOMINGO AVE UNIT 1017
BERKELEY CA
94705-2454
US

IV. Provider business mailing address

2930 DOMINGO AVE UNIT 1017
BERKELEY CA
94705-2454
US

V. Phone/Fax

Practice location:
  • Phone: 406-551-6385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA WHITE
Title or Position: OWNER
Credential: PSYD
Phone: 406-551-6385