Provider Demographics
NPI:1083588891
Name:J. ALEXIS ORTIZ, PH.D. PSYCHOLOGIST INC.
Entity type:Organization
Organization Name:J. ALEXIS ORTIZ, PH.D. PSYCHOLOGIST INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ALEXIS
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:415-335-6840
Mailing Address - Street 1:1225 4TH ST # 404
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2249
Mailing Address - Country:US
Mailing Address - Phone:415-335-6840
Mailing Address - Fax:
Practice Address - Street 1:888 7TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1584
Practice Address - Country:US
Practice Address - Phone:415-335-6840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty