Healthcare Provider Details

I. General information

NPI: 1912846064
Provider Name (Legal Business Name): NEST PSYCHOTHERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 GRANT AVE STE 346
NOVATO CA
94945-3182
US

IV. Provider business mailing address

PO BOX 1405
NOVATO CA
94948-1405
US

V. Phone/Fax

Practice location:
  • Phone: 707-385-1681
  • Fax:
Mailing address:
  • Phone: 707-385-1681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ANNE BABIN
Title or Position: OWNER
Credential: PSYD
Phone: 707-385-1681