Organization · Type 2 NPI

Tapestry Family Services, Inc.

Behavioral Neurology & Neuropsychiatry Physician · Ukiah, CA

NPI number 1578093928 Active

Practice location

376 E Gobbi St Ste B
Ukiah, CA 95482-5511

Call (707) 472-6453 Map

Mailing address

290 E Gobbi St
Ukiah, CA 95482-5559

Specialties and licenses

Taxonomy	Code	License
Behavioral Neurology & Neuropsychiatry Physician Primary	2084B0040X	None listed

Behavioral Neurology & Neuropsychiatry Physician: Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

2 other providers at this address

NPI record

NPI: 1578093928
Entity type: Organization (Type 2)
Issued: Jun 19, 2017
Last updated: Jun 19, 2017
Status: Active
Subpart: Yes of Tapestry Family Services, Inc.

Other names

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Med Management · other name
Med Management · other name

Authorized official

Nicole Johns
Clinical Director
(707) 463-3300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1578093928

Tapestry Family Services, Inc.'s National Provider Identifier is 1578093928, issued on Jun 19, 2017. The primary taxonomy on file is Behavioral Neurology & Neuropsychiatry Physician (2084B0040X), and the practice location is in Ukiah, CA. The record was last updated on Jun 19, 2017.