Provider Demographics
NPI:1316494883
Name:PENINSULA BEHAVIORAL HEALTH, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:PENINSULA BEHAVIORAL HEALTH, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, TREASURER, CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:SCHULZ-HEIK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:650-294-8525
Mailing Address - Street 1:3260 ASH ST.
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306
Mailing Address - Country:US
Mailing Address - Phone:650-427-0819
Mailing Address - Fax:
Practice Address - Street 1:3260 ASH ST.
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306
Practice Address - Country:US
Practice Address - Phone:650-542-9699
Practice Address - Fax:888-972-5473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty