Organization · Type 2 NPI
Numinous Psychotherapy Inc
Clinical Psychologist · Fort Bragg, CA
Practice location
27000 N Highway 1
Fort Bragg, CA 95437-8900
Mailing address
326 I St Unit 108
Eureka, CA 95501-0522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychoanalyst | 102L00000X | None listed |
| Psychologist | 103T00000X | None listed |
| Adult Development & Aging Psychologist | 103TA0700X | None listed |
| Cognitive & Behavioral Psychologist | 103TB0200X | None listed |
| Clinical Psychologist Primary | 103TC0700X | None listed |
| Counseling Psychologist | 103TC1900X | None listed |
| Health Psychologist | 103TH0004X | None listed |
| Psychoanalysis Psychologist | 103TP0814X | None listed |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
About NPI 1861389850
Numinous Psychotherapy Inc's National Provider Identifier is 1861389850, issued on Jun 21, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Bragg, CA. The record was last updated on Jul 3, 2025.