Healthcare Provider Details

I. General information

NPI: 1184556441
Provider Name (Legal Business Name): TRANSFORMATIVE PSYCHIATRY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26362 CARMEL RANCHO LN STE 204
CARMEL CA
93923-8858
US

IV. Provider business mailing address

26362 CARMEL RANCHO LN STE 204
CARMEL CA
93923-8858
US

V. Phone/Fax

Practice location:
  • Phone: 831-574-3020
  • Fax:
Mailing address:
  • Phone: 831-574-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PRESTON GENTRY
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 703-655-6298