Psychedelic Institute of Mental Health & Family Therapy, PC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PSYCHEDELIC INSTITUTE OF MENTAL HEALTH & FAMILY THERAPY, PC

Practice address

301 N Palm Canyon Dr # 301-1061
Palm Springs, CA 92262-5672

Phone

(760) 760-4007

NPI assigned

Jan 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Demarco, PHDNPI 1083795983

Title

Ceo

Phone

(760) 760-4007

Specialties & licenses 1

Addresses

Other names 1

• Psyche Institute Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Demarco, PHD

  • Marriage & Family Therapist
  • Palm Springs, CA
  • NPI 1083795983
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1144934332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N PALM CANYON DR # 301-1061",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625672",
            "telephone_number": "760-760-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N PALM CANYON DR # 301-1061",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625672",
            "telephone_number": "760-760-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHEDELIC INSTITUTE OF MENTAL HEALTH & FAMILY THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-760-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psyche Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Pruden
• Nicole Ann Prytherch
• PS Medical Inc.
• PS Test Inc.
• Psych Health Centers
• F Lorenzo Martin Abella Puno, MD, MBA
• Pura Vida Chiropractic
• Pure Naturopathic Health, Inc
• Syed Faisal Qasim, MD
• Minh Quach, MD

• Marriage & Family Therapist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.