Healthcare Provider Details

I. General information

NPI: 1124974472
Provider Name (Legal Business Name): LEAN PSYCHOLOGICAL CALIFORNIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MISSION ST APT 21F
SAN FRANCISCO CA
94105-6650
US

IV. Provider business mailing address

301 MISSION ST APT 21F
SAN FRANCISCO CA
94105-6650
US

V. Phone/Fax

Practice location:
  • Phone: 650-465-1006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. BRITNEY BLAIR
Title or Position: FOUNDER
Credential: PSYD
Phone: 650-465-1006