Organization · Type 2 NPI

Psychotherapy Institute of Individual, Family & Community Development

Psychologist · Antioch, CA

NPI number 1063565745 Active

Practice location

509 W 10th St
Antioch, CA 94509-1653

Fax (925) 757-9024

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY15066 (CA)
Clinical Psychologist 103TC0700XPSY15066 (CA)
Clinical Child & Adolescent Psychologist 103TC2200XPSY15066 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1063565745

Psychotherapy Institute of Individual, Family & Community Development's National Provider Identifier is 1063565745, issued on Jan 18, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Antioch, CA. The record was last updated on Sep 11, 2025.