Healthcare Provider Details

I. General information

NPI: 1194564294
Provider Name (Legal Business Name): ENHANCE PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

899 SANTA CRUZ AVE. STE 200
MENLO PARK CA
94025
US

IV. Provider business mailing address

899 SANTA CRUZ AVE. STE 200
MENLO PARK CA
94025
US

V. Phone/Fax

Practice location:
  • Phone: 510-804-5565
  • Fax: 855-975-0618
Mailing address:
  • Phone: 510-804-5565
  • Fax: 855-975-0618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT LIM
Title or Position: DIRECTOR
Credential: PH.D.
Phone: 510-804-5565