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1750253696 NPI number — BEYOND PSYCHOTHERAPY CALIFORNIA PC

NPI Number: 1750253696
Health Care Provider/Practitioner: BEYOND PSYCHOTHERAPY CALIFORNIA PC

Information about “1750253696” NPI (BEYOND PSYCHOTHERAPY CALIFORNIA PC) exists in 1750253696 in HTML format HTML  |  1750253696 in plain Text format TXT  |  1750253696 in PDF (Portable Document Format) PDF  |  1750253696 in an XML format XML  formats.

NPI Number : 1750253696 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750253696",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BEYOND PSYCHOTHERAPY CALIFORNIA PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 8576",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA ROSA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95407-1576",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-243-3817",
    "MailingAddressFaxNumber": "707-703-5794",
    "FirstLinePracticeLocationAddress": "1008 5TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA ROSA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95404-4307",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-243-3817",
    "PracticeLocationAddressFaxNumber": "707-703-5794",
    "EnumerationDate": "09/20/2025",
    "LastUpdateDate": "12/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DOTTI",
    "AuthorizedOfficialFirstName": "ALISON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO/PHD",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "707-888-3752",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0855X",
          "TaxonomyName": "Adolescent and Children Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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