Healthcare Provider Details

I. General information

NPI: 1598390387
Provider Name (Legal Business Name): APPROACH THERAPY PSYCHOLOGICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2020
Last Update Date: 09/03/2021
Certification Date: 09/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2595 MISSION ST STE 311
SAN FRANCISCO CA
94110-2574
US

IV. Provider business mailing address

2595 MISSION ST STE 311
SAN FRANCISCO CA
94110-2574
US

V. Phone/Fax

Practice location:
  • Phone: 415-370-0141
  • Fax:
Mailing address:
  • Phone: 415-370-0141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. MELANIE CHINCHILLA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PHD
Phone: 415-370-0141