WELLSPRING PSYCHOTHERAPY CENTER
NPI 1083132310
Psychologist in San Rafael, CA

Active since September 07, 2017
30 N SAN PEDRO RD STE 290, SAN RAFAEL, CA 94903(415) 458-3358 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellspring Psychotherapy Center NPPES

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

WELLSPRING PSYCHOTHERAPY CENTER (NPI 1083132310) is a healthcare organization registered as a psychologist in San Rafael, California and active in the NPI registry since September 2017. The organization lists Simone Rodin, Director, as its authorized official.

NPPES Registry Identity

NPI1083132310
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameWELLSPRING PSYCHOTHERAPY CENTER
Location Address30 N SAN PEDRO RD STE 290San Rafael, CA 94903-4133
Mailing Address30 N San Pedro Rd Ste 290San Rafael, CA 94903-4133 · (415) 458-3358
Organization SubpartNo
Authorized OfficialSimone RodinDirector · (415) 458-3358
Enumeration DateSeptember 7, 2017
Last NPPES UpdateJuly 21, 2022
NPI 1083132310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY14624
Definition
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 adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
30 N SAN PEDRO RD STE 290, San Rafael, CA 94903

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Wellspring Psychotherapy Center's NPI number?

The NPI number for Wellspring Psychotherapy Center is 1083132310. It was assigned to this organization in the NPPES registry on September 7, 2017.

Where is Wellspring Psychotherapy Center located?

Wellspring Psychotherapy Center is located at 30 N San Pedro Rd Ste 290, San Rafael, CA 94903. The listed phone number is (415) 458-3358.

What is Wellspring Psychotherapy Center's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Wellspring Psychotherapy Center was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.