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JOURNEY OF LIFE PSYCHOLOGICAL, INC.
NPI 1073122958
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Leandro, CA

Active since July 28, 2020
13847 E 14TH ST STE 202, SAN LEANDRO, CA 94578(510) 564-5955(510) 817-4112 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Journey Of Life Psychological, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOURNEY OF LIFE PSYCHOLOGICAL, INC. (NPI 1073122958) is a healthcare organization registered as a mental health (including community mental health center) in San Leandro, California and active in the NPI registry since July 2020. The organization lists Jaseon Outlaw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073122958
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJOURNEY OF LIFE PSYCHOLOGICAL, INC.
Location Address13847 E 14TH ST STE 202San Leandro, CA 94578-2626
Mailing Address13847 E 14th St Ste 202San Leandro, CA 94578-2626 · (510) 564-5955 · Fax (510) 817-4112
Phone(510) 564-5955
Fax(510) 817-4112
Organization SubpartNo
Authorized OfficialJaseon OutlawCeo · (510) 463-1302
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1073122958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
13847 E 14TH ST STE 202, San Leandro, CA 94578
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Other Identifiers 1

MedicaidCA228465CA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN J ROSENTHAL M.D.
Internal Medicine (Geriatric Medicine)
13847 E 14TH ST STE 202
SAN LEANDRO, CA 94578
Alameda County (510) 351-4213
DR. JASEON S. OUTLAW PHD
Psychologist (Clinical)
13847 E 14TH ST STE 202
SAN LEANDRO, CA 94578
Alameda County (510) 463-1302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Journey Of Life Psychological, Inc.'s NPI number?

The NPI number for Journey Of Life Psychological, Inc. is 1073122958. It was assigned to this organization in the NPPES registry on July 28, 2020.

Where is Journey Of Life Psychological, Inc. located?

Journey Of Life Psychological, Inc. is located at 13847 E 14th St Ste 202, San Leandro, CA 94578. The listed phone number is (510) 564-5955.

What is Journey Of Life Psychological, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Journey Of Life Psychological, Inc. was last updated on July 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.