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OCTAVE BEHAVIORAL HEALTH PC
Complete NPI Record 1184199549
Psychologist in San Francisco, CA

Active since October 11, 2018
625 MARKET ST FL 15, SAN FRANCISCO, CA 94105(415) 360-3833(628) 234-3048 Get Directions

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2025, Aug 11, 2025, May 19, 2025 and 15 more (18 updates tracked since 2018).

Complete NPI Dataset

This page contains the complete raw NPPES record for Octave Behavioral Health Pc (NPI 1184199549), a psychologist organization in San Francisco, CA. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

Registry File Document Utilities
NPI: 1184199549
Field 1/29
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Field 2/29
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: Not available
Field 3/29
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name: OCTAVE BEHAVIORAL HEALTH PC
Field 4/29
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 625 MARKET ST FL 15
Field 5/29
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: SAN FRANCISCO
Field 6/29
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: CA
Field 7/29
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 941053316
Field 8/29
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US
Field 9/29
The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 4153603833
Field 10/29
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number: 6282343048
Field 11/29
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 625 MARKET ST FL 15
Field 12/29
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: SAN FRANCISCO
Field 13/29
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: CA
Field 14/29
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 941053316
Field 15/29
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
Field 16/29
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 4153603833
Field 17/29
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 6282343048
Field 18/29
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 10/11/2018
Field 19/29
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 11/25/2025
Field 20/29
The date that a record was last updated or changed.
Authorized Official Last Name: EVERETT
Field 21/29
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: KYM
Field 22/29
The first name of the authorized official.
Authorized Official Title or Position: VP, REVENUE OPERATIONS
Field 23/29
The title or position of the authorized official.
Authorized Official Telephone Number: 6505042289
Field 24/29
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 103T00000X
Field 25/29
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Field 26/29
This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Organization Subpart: N
Field 27/29
Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP
Field 28/29
Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
NPI Certification Date: 11/25/2025
Field 29/29
The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

Secondary Practice Locations 116

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

3626 Sacramento St Ste 5
Location 1/116
San Francisco, CA 94118-1738 · Phone (415) 360-3833 · Fax (628) 234-3048
3356 2nd Ave Ste D
Location 2/116
San Diego, CA 92103-5636 · Phone (415) 360-3833 · Fax (628) 234-3048
9535 Reseda Blvd Ste 112
Location 3/116
Northridge, CA 91324-6022 · Phone (415) 360-3833 · Fax (628) 234-3048
5151 N Palm Ave Ste 200
Location 4/116
Fresno, CA 93704-2221 · Phone (415) 360-3833 · Fax (628) 234-3048
1777 N Bellflower Blvd Ste 206
Location 5/116
Long Beach, CA 90815-4020 · Phone (415) 360-3833 · Fax (628) 234-3048
572 E Green St Ste 304
Location 6/116
Pasadena, CA 91101-2085 · Phone (415) 360-3833 · Fax (628) 234-3048
110 S Montclair St Ste 205
Location 7/116
Bakersfield, CA 93309-3111 · Phone (415) 360-3833 · Fax (628) 234-3048
656 Piezzi Rd
Location 8/116
Santa Rosa, CA 95401-5538 · Phone (415) 360-3833 · Fax (628) 234-3048
1150 Osos St Ste 205
Location 9/116
San Luis Obispo, CA 93401-3694 · Phone (415) 360-3833 · Fax (628) 234-3048
7444 E Chapman Ave Ste D
Location 10/116
Orange, CA 92869-8537 · Phone (415) 360-3833 · Fax (628) 234-3048
5550 Telegraph Rd Ste C3
Location 11/116
Ventura, CA 93003-4263 · Phone (415) 360-3833 · Fax (628) 234-3048
23300 Cinema Dr Ste 2906
Location 12/116
Valencia, CA 91355-1659 · Phone (415) 360-3833 · Fax (628) 234-3048
473 S Carnegie Dr Ste 241
Location 13/116
San Bernardino, CA 92408-4207 · Phone (411) 536-0383 · Fax (628) 234-3048
18811 Huntington St Ste 200
Location 14/116
Huntington Beach, CA 92648-6003 · Phone (415) 360-3833 · Fax (628) 234-3048
2330 Professional Dr Ste 100
Location 15/116
Roseville, CA 95661-7781 · Phone (415) 360-3833 · Fax (628) 234-3048
4815 Contour Ct
Location 16/116
Oceanside, CA 92057-7927 · Phone (415) 360-3833 · Fax (628) 234-3048
6630 Highway 9 Ste 202
Location 17/116
Felton, CA 95018-9711 · Phone (415) 360-3833 · Fax (628) 234-3048
2615 Pacific Coast Hwy Ste 330
Location 18/116
Hermosa Beach, CA 90254-2227 · Phone (415) 360-3833 · Fax (628) 234-3048
224 Landis Ave
Location 19/116
Chula Vista, CA 91910-2609 · Phone (415) 360-3833 · Fax (628) 234-3048
11600 Washington Pl Ste 116D
Location 20/116
Los Angeles, CA 90066-5000 · Phone (415) 360-3833 · Fax (628) 234-3048
1002 Milton Ave Ste 2
Location 21/116
Ferndale, CA 95536-9757 · Phone (415) 360-3833 · Fax (628) 234-3048
1434 3rd St Ste 3D
Location 22/116
Napa, CA 94559-2860 · Phone (415) 360-3833 · Fax (628) 234-3048
265 S Randolph Ave Ste 185
Location 23/116
Brea, CA 92821-5702 · Phone (415) 360-3833 · Fax (628) 234-3048
1350 W Robinhood Dr
Location 24/116
Stockton, CA 95207-5512 · Phone (415) 360-3833 · Fax (628) 234-3048
222 W Lockeford St Ste 8
Location 25/116
Lodi, CA 95240-2054 · Phone (415) 360-3833 · Fax (628) 234-3048
4091 Riverside Dr Ste 103
Location 26/116
Chino, CA 91710-3195 · Phone (415) 360-3833 · Fax (628) 234-3048
4507 Auckland Ave
Location 27/116
Toluca Lake, CA 91602-1502 · Phone (415) 360-3833 · Fax (628) 234-3048
73929 Larrea St Ste 1B
Location 28/116
Palm Desert, CA 92260-4305 · Phone (415) 360-3833 · Fax (628) 234-3048
2382 Faraday Ave Ste 200-5
Location 29/116
Carlsbad, CA 92008-7218 · Phone (415) 360-3833 · Fax (628) 234-3048
1672 W Avenue J Ste 202
Location 30/116
Lancaster, CA 93534-2861 · Phone (415) 360-3833 · Fax (628) 234-3048
16755 Von Karman Ave Ste 200
Location 31/116
Irvine, CA 92606-4963 · Phone (415) 360-3833 · Fax (628) 234-3048
2580 Catamaran Way Ste 103
Location 32/116
Chula Vista, CA 91914-4533 · Phone (415) 360-3833 · Fax (628) 234-3048
9712 Fair Oaks Blvd Ste A3
Location 33/116
Fair Oaks, CA 95628-7032 · Phone (415) 360-3833 · Fax (628) 234-3048
340 Soquel Ave Ste 203
Location 34/116
Santa Cruz, CA 95062-2328 · Phone (415) 360-3833 · Fax (628) 234-3048
15810 Los Gatos Blvd
Location 35/116
Los Gatos, CA 95032-3315 · Phone (415) 360-3833 · Fax (628) 234-3048
506 4th St
Location 36/116
Davis, CA 95616-4125 · Phone (415) 360-3833 · Fax (628) 234-3048
1563 W Shaw Ave
Location 37/116
Fresno, CA 93711-3503 · Phone (415) 360-3833 · Fax (628) 234-3048
4305 Gesner St Ste 215
Location 38/116
San Diego, CA 92117-6677 · Phone (415) 360-3833 · Fax (628) 234-3048
138 Civic Center Dr Ste 204
Location 39/116
Vista, CA 92084-6044 · Phone (415) 360-3833 · Fax (628) 234-3048
5750 Sunrise Blvd Ste 210B
Location 40/116
Citrus Heights, CA 95610-7639 · Phone (415) 360-3833 · Fax (628) 234-3048
111 Woodmere Rd Ste 100
Location 41/116
Folsom, CA 95630-4750 · Phone (415) 360-3833 · Fax (628) 234-3048
2635 Camino Del Rio S Ste 104
Location 42/116
San Diego, CA 92108-3727 · Phone (415) 360-3833 · Fax (628) 234-3048
345 Saxony Rd Ste 104
Location 43/116
Encinitas, CA 92024-2787 · Phone (415) 360-3833 · Fax (628) 234-3048
23504 Lyons Ave Ste 402B
Location 44/116
Santa Clarita, CA 91321-5777 · Phone (415) 360-3833 · Fax (628) 234-3048
303 W Joaquin Ave Ste 105
Location 45/116
San Leandro, CA 94577-3666 · Phone (415) 360-3833 · Fax (628) 234-3048
2001 S Barrington Ave Ste 302
Location 46/116
Los Angeles, CA 90025-5379 · Phone (415) 360-3833 · Fax (628) 234-3048
600 W Santa Ana Blvd Ste 530-D
Location 47/116
Santa Ana, CA 92701-4558 · Phone (415) 360-3833 · Fax (628) 234-3048
11344 Coloma Rd
Location 48/116
Gold River, CA 95670-4457 · Phone (415) 360-3833 · Fax (628) 234-3048
110 N Maclay Ave
Location 49/116
San Fernando, CA 91340-2989 · Phone (415) 360-3833 · Fax (628) 234-3048
5800 S Eastern Ave Ste 509
Location 50/116
Commerce, CA 90040-4016 · Phone (415) 360-3833 · Fax (628) 234-3048
21171 S Western Ave Ste 2649
Location 51/116
Torrance, CA 90501-1728 · Phone (415) 360-3833 · Fax (628) 234-3048
10990 Wilshire Blvd Ste 250
Location 52/116
Los Angeles, CA 90024-3932 · Phone (415) 360-3833 · Fax (628) 234-3048
650 Hampshire Rd Ste 118
Location 53/116
Westlake Village, CA 91361-2536 · Phone (415) 360-3833 · Fax (628) 234-3048
1303 I St Ste 1301
Location 54/116
Modesto, CA 95354-0913 · Phone (415) 360-3833 · Fax (628) 234-3048
3711 Long Beach Blvd # 6405
Location 55/116
Long Beach, CA 90807-3315 · Phone (415) 360-3833 · Fax (628) 234-3048
3505 Cadillac Ave Ste O-109
Location 56/116
Costa Mesa, CA 92626-1429 · Phone (415) 360-3833 · Fax (628) 234-3048
5938 Priestly Dr
Location 57/116
Carlsbad, CA 92008-8847 · Phone (415) 360-3833 · Fax (628) 234-3048
15750 Winchester Blvd Ste 204
Location 58/116
Los Gatos, CA 95030-3327 · Phone (415) 360-3833 · Fax (628) 234-3048
2940 Summit St
Location 59/116
Oakland, CA 94609-3416 · Phone (415) 360-3833 · Fax (628) 234-3048
800 Quintana Rd Ste 1F
Location 60/116
Morro Bay, CA 93442-2300 · Phone (415) 360-3833 · Fax (628) 234-3048
210 S Orange Grove Blvd Unit 280
Location 61/116
Pasadena, CA 91105-1705 · Phone (415) 360-3833 · Fax (628) 234-3048
740 Oak Ave Ste B
Location 62/116
Carlsbad, CA 92008-2455 · Phone (415) 360-3833 · Fax (628) 234-3048
1945 Palo Verde Ave Ste 203A
Location 63/116
Long Beach, CA 90815-3445 · Phone (415) 360-3833 · Fax (628) 234-3048
7740 Painter Ave Ste 107
Location 64/116
Whittier, CA 90602-2477 · Phone (415) 360-3833 · Fax (628) 234-3048
41877 Enterprise Cir N Ste 200
Location 65/116
Temecula, CA 92590-5628 · Phone (415) 360-3833 · Fax (628) 234-3048
6556 Lonetree Blvd Ste 203
Location 66/116
Rocklin, CA 95765-6008 · Phone (415) 360-3833 · Fax (628) 234-3048
41197 Golden Gate Cir Ste 101
Location 67/116
Murrieta, CA 92562-6998 · Phone (415) 360-3833 · Fax (628) 234-3048
5830 Oberlin Dr Ste 204
Location 68/116
San Diego, CA 92121-3754 · Phone (415) 360-3833 · Fax (628) 234-3048
163 S Avenue 24 Ste 201
Location 69/116
Los Angeles, CA 90031-2299 · Phone (415) 360-3833 · Fax (628) 234-3048
12396 World Trade Dr Ste 105
Location 70/116
San Diego, CA 92128-3787 · Phone (415) 360-3833 · Fax (628) 234-3048
2377 Gold Meadow Way Ste 100
Location 71/116
Gold River, CA 95670-4444 · Phone (415) 360-3833 · Fax (628) 234-3048
250 W 1st St Ste 214
Location 72/116
Claremont, CA 91711-4743 · Phone (415) 360-3833 · Fax (628) 234-3048
1035 San Pablo Ave Ste 9-3
Location 73/116
Albany, CA 94706-2275 · Phone (415) 360-3833 · Fax (628) 234-3048
1777 Borel Pl Ste 400
Location 74/116
San Mateo, CA 94402-3513 · Phone (415) 360-3833 · Fax (628) 234-3048
26040 Acero Ste 209
Location 75/116
Mission Viejo, CA 92691-2768 · Phone (415) 360-3833 · Fax (628) 234-3048
201 S Miller St Ste 107
Location 76/116
Santa Maria, CA 93454-5248 · Phone (415) 360-3833 · Fax (628) 234-3048
17782 Cowan Ste B
Location 77/116
Irvine, CA 92614-6045 · Phone (415) 360-3833 · Fax (628) 234-3048
3551 Florista St Ste 1D
Location 78/116
Los Alamitos, CA 90720-2488 · Phone (415) 360-3833 · Fax (628) 234-3048
235 W 7th St
Location 79/116
Oxnard, CA 93030-7131 · Phone (415) 360-3833 · Fax (628) 234-3048
840 Hinckley Rd Ste 148
Location 80/116
Burlingame, CA 94010-1517 · Phone (415) 360-3833 · Fax (628) 234-3048
601 S Brand Blvd Ste 311
Location 81/116
San Fernando, CA 91340-4040 · Phone (415) 360-3833 · Fax (628) 234-3048
3620 Long Beach Blvd Ste C5
Location 82/116
Long Beach, CA 90807-6022 · Phone (415) 360-3833 · Fax (628) 234-3048
7305 Morro Rd Ste 206
Location 83/116
Atascadero, CA 93422-4445 · Phone (415) 360-3833 · Fax (628) 234-3048
6310 San Vicente Blvd Ste 410
Location 84/116
Los Angeles, CA 90048-5457 · Phone (415) 360-3833 · Fax (628) 234-3048
3532 Katella Ave Ste 220
Location 85/116
Los Alamitos, CA 90720-3158 · Phone (415) 360-3833 · Fax (628) 234-3048
3075 Citrus Cir Ste 165
Location 86/116
Walnut Creek, CA 94598-2669 · Phone (415) 360-3833 · Fax (628) 234-3048
7700 Irvine Center Dr
Location 87/116
Irvine, CA 92618-2923 · Phone (415) 360-3833 · Fax (628) 234-3048
286 Santa Clara Ave
Location 88/116
Oakland, CA 94610-2624 · Phone (415) 360-3833 · Fax (628) 234-3048
28310 Roadside Dr Ste 233A
Location 89/116
Agoura Hills, CA 91301-4951 · Phone (415) 360-3833 · Fax (628) 234-3048
4444 W Riverside Dr
Location 90/116
Burbank, CA 91505-4073 · Phone (415) 360-3833 · Fax (628) 234-3048
1881 Business Center Dr Ste 11
Location 91/116
San Bernardino, CA 92408-3438 · Phone (415) 360-3833 · Fax (628) 234-3048
2009 V St # 205
Location 92/116
Sacramento, CA 95818-1729 · Phone (415) 360-3833 · Fax (628) 234-3048
13033 Penn St Ste 800
Location 93/116
Whittier, CA 90602-1603 · Phone (415) 360-3833 · Fax (628) 234-3048
27451 Tourney Rd Ste 120
Location 94/116
Valencia, CA 91355-6304 · Phone (415) 360-3833 · Fax (628) 234-3048
2945 Harding St Ste 205
Location 95/116
Carlsbad, CA 92008-1818 · Phone (415) 360-3833 · Fax (628) 234-3048
5750 Sunrise Blvd Ste O
Location 96/116
Citrus Heights, CA 95610-7634 · Phone (415) 360-3833 · Fax (628) 234-3048
2211 Post St Ste 300
Location 97/116
San Francisco, CA 94115-3442 · Phone (415) 360-3833 · Fax (628) 234-3048
4401 Atlantic Ave Ste 200
Location 98/116
Long Beach, CA 90807-2264 · Phone (415) 360-3833 · Fax (628) 234-3048
17621 Irvine Blvd Ste 216
Location 99/116
Tustin, CA 92780-3131 · Phone (415) 360-3833 · Fax (628) 234-3048
5550 Telegraph Rd Ste B1
Location 100/116
Ventura, CA 93003-4260 · Phone (415) 360-3833 · Fax (628) 234-3048
8765 Aero Dr Ste 228
Location 101/116
San Diego, CA 92123-1785 · Phone (415) 360-3833 · Fax (628) 234-3048
2200B Douglas Blvd Ste 140
Location 102/116
Roseville, CA 95661-3800 · Phone (415) 360-3833 · Fax (628) 234-3048
650 Hobson Way Ste 102
Location 103/116
Oxnard, CA 93030-6710 · Phone (415) 360-3833 · Fax (628) 234-3048
6737 Bright Ave Ste B9
Location 104/116
Whittier, CA 90601-4315 · Phone (415) 360-3833 · Fax (628) 234-3048
287 17th St Ste A
Location 105/116
Oakland, CA 94612-4191 · Phone (415) 360-3833 · Fax (628) 234-3048
1150 Brookside Ave Ste J3
Location 106/116
Redlands, CA 92373-6303 · Phone (415) 360-3833 · Fax (628) 234-3048
25 Rolling Oaks Dr Ste 210
Location 107/116
Thousand Oaks, CA 91361-1009 · Phone (415) 360-3833 · Fax (628) 234-3048
2525 Camino Del Rio S Ste 130
Location 108/116
San Diego, CA 92108-3718 · Phone (415) 360-3833 · Fax (628) 234-3048
46 Third Ave Ste E
Location 109/116
Chula Vista, CA 91910-1770 · Phone (415) 360-3833 · Fax (628) 234-3048
8500 Wilshire Blvd Ste 740
Location 110/116
Beverly Hills, CA 90211-3121 · Phone (415) 360-3833 · Fax (628) 234-3048
218 W Main St Ste 101
Location 111/116
Tustin, CA 92780-7709 · Phone (415) 360-3833 · Fax (628) 234-3048
12440 Firestone Blvd Ste 311D
Location 112/116
Norwalk, CA 90650-4328 · Phone (415) 360-3833 · Fax (628) 234-3048
2023 N St
Location 113/116
Sacramento, CA 95811-4200 · Phone (415) 360-3833 · Fax (628) 234-3048
26734 Jordan Rd # A4
Location 114/116
Helendale, CA 92342-7878 · Phone (415) 360-3833 · Fax (628) 234-3048
2212 F St
Location 115/116
Bakersfield, CA 93301-3828 · Phone (415) 360-3833 · Fax (628) 234-3048
12304 Santa Monica Blvd Ste 111
Location 116/116
Los Angeles, CA 90025-2586 · Phone (415) 360-3833 · Fax (628) 234-3048
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