Organization Active NPI

Collette Psychological Services, Inc.

  • Psychologist
  • Kentfield, CA
National Provider Identifier
1174472336
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
COLLETTE PSYCHOLOGICAL SERVICES, INC.
Practice address
802 College Ave Ste 203
Kentfield, CA 94904-2564
Phone
(415) 870-4249
NPI assigned
Jan 22, 2026
Last updated
Jan 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Dr. Emily Collette, PSY.D.NPI 1295218022
Title
President
Phone
(415) 870-4249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

802 College Ave Ste 203
Kentfield, CA 94904-2564

Mailing address

802 College Ave Ste 203
Kentfield, CA 94904-2564
Phone (415) 870-4249

National Provider Directory

National Provider Directory

Locations

802 College Ave
Ste 203
Kentfield, CA 94904
Phone (415) 870-4249

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1174472336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 COLLEGE AVE STE 203",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042564",
            "telephone_number": "415-870-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 COLLEGE AVE STE 203",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042564",
            "telephone_number": "415-870-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLETTE PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "COLLETTE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-870-4249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.