Healthcare Provider Details

I. General information

NPI: 1477275493
Provider Name (Legal Business Name): TELEGRAPH PSYCHOLOGY COLLECTIVE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2022
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 ARLINGTON AVE
KENSINGTON CA
94707-1416
US

IV. Provider business mailing address

264 ARLINGTON AVE
KENSINGTON CA
94707-1416
US

V. Phone/Fax

Practice location:
  • Phone: 510-224-5591
  • Fax:
Mailing address:
  • Phone: 415-295-6457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIELLE KASSOUF
Title or Position: DIRECTOR
Credential: PSYD
Phone: 415-295-6457