Healthcare Provider Details

I. General information

NPI: 1942104492
Provider Name (Legal Business Name): TWO CHAIRS PSYCHIATRY AND THERAPY SERVICES OF CALIFORNIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MONTGOMERY ST STE 204
SAN FRANCISCO CA
94104-1904
US

IV. Provider business mailing address

PO BOX 593
SAN FRANCISCO CA
94104-0593
US

V. Phone/Fax

Practice location:
  • Phone: 800-258-3091
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CARA WALKER
Title or Position: RCM
Credential:
Phone: 904-868-6699