Healthcare Provider Details

I. General information

NPI: 1851205256
Provider Name (Legal Business Name): PACIFIC BRAIN HEALTH & WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

871 CASS ST STE 210
MONTEREY CA
93940-2917
US

IV. Provider business mailing address

871 CASS ST STE 210
MONTEREY CA
93940-2917
US

V. Phone/Fax

Practice location:
  • Phone: 831-288-5865
  • Fax: 206-474-3601
Mailing address:
  • Phone: 831-288-5865
  • Fax: 206-474-3601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. LARISSA D DEL PIERO
Title or Position: CEO
Credential: PHD
Phone: 831-288-5865