PCRT Palo Alto Psychotherapy for Complex and Relational Trauma

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PCRT PALO ALTO PSYCHOTHERAPY FOR COMPLEX AND RELATIONAL TRAUMA

Practice address

220 California Ave Ste 106
Palo Alto, CA 94306-1627

Phone

(650) 815-9580

NPI assigned

Feb 1, 2024

Organization subpart

No

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

Authorized official

Name

Dana Hartman-Ngaloafe, M.ED.; M.A.; LMFTNPI 1659620888

Title

President

Phone

(650) 815-9580

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dana Hartman Ngaloafe

  • Mental Health Counselor
  • Palo Alto, CA
  • NPI 1659620888
  NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1477316529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CALIFORNIA AVE STE 106",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CALIFORNIA AVE STE 106",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061627",
            "telephone_number": "650-815-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCRT PALO ALTO PSYCHOTHERAPY FOR COMPLEX AND RELATIONAL TRAUMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "HARTMAN-NGALOAFE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-815-9580",
        "authorized_official_credential": "M.ED.; M.A.; LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Escott Pavlis, M.A.
• Kushalmeet Kaur Pawar, DC
• Ebrahim Payberah, MD
• Christopher Kennerly Payne, M.D.
• Susan Payrovi, MD
• Cecilia Ann Peabody, M.D.
• Dakota James Samuel Justin Peacock, MD
• Rotem Pearlson
• Timothy Charles Peck, M.D.
• Melanie Peddle, M.S., CMT

• Adult Mental Health Clinic/Center in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.