| Affiliated Psychologists & Counselors, Inc. | |
|
20833 Stevens Creek Blvd Suite 100 Cupertino CA 95014-2154 | |
| (408) 342-0612 | |
| Not Available |
| Full Name | Affiliated Psychologists & Counselors, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 20833 Stevens Creek Blvd, Cupertino, California |
| Authorized Official Name and Position | Diana Sullivan Everstine (PRESIDENT) |
| Authorized Official Contact | 4083420612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Psychologists & Counselors, Inc. 20833 Stevens Creek Blvd Suite 100 Cupertino CA 95014-2154 Ph: (408) 342-0612 | Affiliated Psychologists & Counselors, Inc. 20833 Stevens Creek Blvd Suite 100 Cupertino CA 95014-2154 Ph: (408) 342-0612 |
| NPI Number | 1598877201 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7416136999 |
|---|---|
| Medicare Enrollment ID | O20110131000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598877201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY 4771 (California) | Primary |
| Provider Name | Diana S Everstine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982737870 PECOS PAC ID: 6901085489 Enrollment ID: I20110131000341 |
| Provider Name | Priya Mahurkar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124302195 PECOS PAC ID: 5294998076 Enrollment ID: I20120514000612 |
| Provider Name | Corie L Ascani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841449337 PECOS PAC ID: 3072758465 Enrollment ID: I20130408000405 |
| Provider Name | Gerry M Waniewski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871771527 PECOS PAC ID: 6507154598 Enrollment ID: I20161006001098 |
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