Organization Active NPI

Northern California Center for Integrative Psychotherapy, PPC

Doing business as Temenos

  • Prescribing (Medical) Psychologist
  • Petaluma, CA
National Provider Identifier
1316527864
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
Legal business name
NORTHERN CALIFORNIA CENTER FOR INTEGRATIVE PSYCHOTHERAPY, PPC
Doing business as
Temenos
Temenos Center
Temenos Center for Integrative Psychotherapy
Practice address
1 Bodega Ave Ste 4
Petaluma, CA 94952-2672
Phone
(707) 992-5015
NPI assigned
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Dr. Carl Spitzer, M.D.NPI 1881612455
Title
Medical Director
Phone
(415) 999-2994

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
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X Primary

Addresses

Primary practice location

1 Bodega Ave Ste 4
Petaluma, CA 94952-2672

Mailing address

1 Bodega Ave Ste 4
Petaluma, CA 94952-2672
Phone (707) 992-5015

Other names 3

  • Temenos Doing business as
  • Temenos Center Doing business as
  • Temenos Center for Integrative Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

1 Bodega Ave
Ste 4
Petaluma, CA 94952
Phone (415) 984-0501

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1316527864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BODEGA AVE STE 4",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522672",
            "telephone_number": "707-992-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BODEGA AVE STE 4",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522672",
            "telephone_number": "707-992-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA CENTER FOR INTEGRATIVE PSYCHOTHERAPY, PPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "SPITZER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-999-2994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temenos",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Temenos Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Temenos Center for Integrative Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.