| |
2108 N St # 9242 Sacramento CA 95816-5712 | |
(949) 490-0201 | |
Not Available |
Full Name | |
---|---|
Speciality | Psychologist |
Location | 2108 N St # 9242, Sacramento, California |
Authorized Official Name and Position | Bahaur Amini (PRESIDENT) |
Authorized Official Contact | 9494900201 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
21791 Constancia Mission Viejo CA 92692-1019 Ph: () - | 2108 N St # 9242 Sacramento CA 95816-5712 Ph: (949) 490-0201 |
NPI Number | 1376308403 |
---|---|
Provider Enumeration Date | 02/19/2024 |
Last Update Date | 08/14/2024 |
Certification Date | 08/14/2024 |
Medicare PECOS PAC ID | 2466893680 |
---|---|
Medicare Enrollment ID | O20240517002763 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376308403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Bahaur Amini |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1578208187 PECOS PAC ID: 1052774049 Enrollment ID: I20230823003230 |
The Attach Place Center For Strengthening Relationships Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3406 American River Dr, Suite D, Sacramento, CA 95864 Phone: 916-403-0588 Fax: 916-403-0588 | |
Another Choice Another Chance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3111 Center Court Ln, Sacramento, CA 95843 Phone: 916-388-9418 | |
Rosetta Center For Counseling And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Corporate Way, Ste 200, Sacramento, CA 95831 Phone: 916-424-3700 | |
Esperanza Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1851 Heritage Ln Ste 260, Sacramento, CA 95815 Phone: 916-692-8519 Fax: 916-200-4992 |