| Lifestance Health | |
|
490 Post St Ste 1043 San Francisco CA 94102-1301 | |
| (415) 296-5290 | |
| (415) 296-5299 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist |
| Location | 490 Post St Ste 1043, San Francisco, California |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252139398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 490 Post St Ste 1043 San Francisco CA 94102-1301 Ph: (415) 409-1881 | Lifestance Health 490 Post St Ste 1043 San Francisco CA 94102-1301 Ph: (415) 296-5290 |
| NPI Number | 1023125465 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Medicare PECOS PAC ID | 2567469174 |
|---|---|
| Medicare Enrollment ID | O20061024000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023125465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Fee Sean Chin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679510465 PECOS PAC ID: 8022118017 Enrollment ID: I20070703000772 |
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