Healthcare Provider Details

I. General information

NPI: 1598684581
Provider Name (Legal Business Name): CALDWELL PSYCHOTHERAPY & ASSESSMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 MORAGA RD STE D
LAFAYETTE CA
94549-4567
US

IV. Provider business mailing address

901 MORAGA RD STE D
LAFAYETTE CA
94549-4567
US

V. Phone/Fax

Practice location:
  • Phone: 925-444-0760
  • Fax: 925-322-4470
Mailing address:
  • Phone: 925-444-0760
  • Fax: 925-322-4470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. REBECCA CALDWELL
Title or Position: PRESIDENT
Credential: PSYD
Phone: 925-444-0760