Healthcare Provider Details

I. General information

NPI: 1750253696
Provider Name (Legal Business Name): BEYOND PSYCHOTHERAPY CALIFORNIA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2025
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 5TH ST
SANTA ROSA CA
95404-4307
US

IV. Provider business mailing address

PO BOX 8576
SANTA ROSA CA
95407-1576
US

V. Phone/Fax

Practice location:
  • Phone: 707-243-3817
  • Fax: 707-703-5794
Mailing address:
  • Phone: 707-243-3817
  • Fax: 707-703-5794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALISON DOTTI
Title or Position: CEO/PHD
Credential:
Phone: 707-888-3752