Psychedelic Institute Of Mental Health & Family Therapy, PC
Marriage & Family Therapist in Palm Springs, CA. Organization (NPI-2).
NPI number1144934332
StatusActive
Last updated in NPPESJan 11, 2023
Details
- NPI
- 1144934332
- Entity type
- Organization (NPI-2)
- Legal business name
- Psychedelic Institute Of Mental Health & Family Therapy, PC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2023
- Certification date
- Jan 11, 2023
- Last updated
- Jan 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Other names
- Psyche Institute (Doing Business As)
Practice location
301 N Palm Canyon Dr # 301-1061Palm Springs, CA 92262-5672
Phone 760-760-4007
Mailing address
301 N Palm Canyon Dr # 301-1061Palm Springs, CA 92262-5672
Phone 760-760-4007
Authorized official
Michael Demarco
Ceo
7607604007
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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