The Lotus Collaborative, Inc., a Psychology Clinic

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY24204 Issued in CA

Legal business name

THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC

Practice address

2500 Market St
San Francisco, CA 94114-1915

Phone

(415) 931-3731

Fax

(415) 931-3739

NPI assigned

Jul 30, 2018

Last updated

Feb 1, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINICAs reported in NPPES

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

Authorized official

Name

Elizabeth Porter

Title

Director of Operations

Phone

(831) 600-7103

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

The Lotus Collaborative Inc a Psychology Clinic3 organizations share this tax ID, including this one

Part of

The Lotus Collaborative Inc a Psychology Clinic

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Lotus Collaborative, Inc., a Psychology Clinic

  dba Luminous Healing Center

  • Clinical Psychologist
  • Santa Cruz, CA
  • NPI 1235770181
  NPD tax ID
• The Lotus Collaborative, Inc., a Psychology Clinic

  • Clinical Psychologist
  • Santa Cruz, CA
  • NPI 1407120579
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Lotus Collaborative, Inc., a Psychology Clinic

  • Clinical Psychologist
  • Santa Cruz, CA
  • NPI 1407120579
  NPPES parent name

Practitioners 4

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.

• Kayla Carmella Smith, LCSW

  • Clinical Social Worker
  • San Francisco, CA
  • NPI 1720789415
  NPD
• Carol Dunn, RD

  • Registered Dietitian
  • Santa Cruz, CA
  • NPI 1720697824
  NPD (past)
• Ramana Linnea Gasch, PHD

  • Student in an Organized Health Care Education/Training Program
  • Salinas, CA
  • NPI 1578201869
  NPD (past)
• Katy Ann Lackey, LCSW

  • Clinical Social Worker
  • San Francisco, CA
  • NPI 1740757152
  NPD (past)

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1720566128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603612",
            "telephone_number": "831-600-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141915",
            "telephone_number": "415-931-3731",
            "fax_number": "415-931-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LOTUS COLLABORATIVE, INC., A PSYCHOLOGY CLINIC",
        "enumeration_date": "2018-07-30",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "831-600-7103"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcp@thelotuscollaborative.com",
            "affiliation": "Y",
            "endpointDescription": "Secure  organization email",
            "affiliationName": "The Lotus Collaborative, Inc., A Psychology Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "attachments",
            "address_1": "1610 Union St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941234507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

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