Provider Demographics
NPI:1699308726
Name:KUMAR THERAPY, A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:KUMAR THERAPY, A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKETA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-360-5058
Mailing Address - Street 1:PO BOX 14952
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-0952
Mailing Address - Country:US
Mailing Address - Phone:415-325-2150
Mailing Address - Fax:
Practice Address - Street 1:582 MARKET ST STE 1210
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5313
Practice Address - Country:US
Practice Address - Phone:415-325-2150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty