| Affiliated Psychological Services | |
|
6274 Adobe Rd Twentynine Palms CA 92277-2650 | |
| (760) 369-7166 | |
| (760) 369-7167 |
| Full Name | Affiliated Psychological Services |
|---|---|
| Speciality | Counselor |
| Location | 6274 Adobe Rd, Twentynine Palms, California |
| Authorized Official Name and Position | Jan Covey (GENERAL PARTNER) |
| Authorized Official Contact | 7603697166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Psychological Services 6274 Adobe Rd Twentynine Palms CA 92277-2650 Ph: (760) 369-7166 | Affiliated Psychological Services 6274 Adobe Rd Twentynine Palms CA 92277-2650 Ph: (760) 369-7166 |
| NPI Number | 1750384350 |
|---|---|
| Provider Enumeration Date | 05/27/2005 |
| Last Update Date | 02/01/2025 |
| Certification Date | 02/01/2025 |
| Medicare PECOS PAC ID | 3779561378 |
|---|---|
| Medicare Enrollment ID | O20040826001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750384350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Julio Merlan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225127640 PECOS PAC ID: 6103941828 Enrollment ID: I20100917000396 |
| Provider Name | Daniel J O Connell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154668218 PECOS PAC ID: 3577800663 Enrollment ID: I20190128002239 |
| Provider Name | Nicole M Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518367952 PECOS PAC ID: 0547655219 Enrollment ID: I20220315002233 |
| Provider Name | Jacqueline J Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740988120 PECOS PAC ID: 1658730585 Enrollment ID: I20230821003857 |
| Provider Name | Shanshan Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841998242 PECOS PAC ID: 6608221114 Enrollment ID: I20231018000700 |
| Provider Name | Amanda Webber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689711608 PECOS PAC ID: 6204271109 Enrollment ID: I20240301001595 |
| Provider Name | Sharon M Swigart |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568521631 PECOS PAC ID: 7911342738 Enrollment ID: I20240301002878 |
| Provider Name | Melody A Bevens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629257811 PECOS PAC ID: 5294173142 Enrollment ID: I20240410003774 |
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Affiliated Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6274 Adobe Rd, Twentynine Palms, CA 92277 Phone: 760-367-3290 Fax: 760-367-4867 | |
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