Provider Demographics
NPI:1497558654
Name:SAIKAYA TREE LLC
Entity type:Organization
Organization Name:SAIKAYA TREE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMANOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-610-1601
Mailing Address - Street 1:462 STEVENS AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2066
Mailing Address - Country:US
Mailing Address - Phone:858-610-1601
Mailing Address - Fax:
Practice Address - Street 1:462 STEVENS AVE STE 206
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2065
Practice Address - Country:US
Practice Address - Phone:858-298-3599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health