An Elegant Sufficiency, A Psychological Corporation | |
5250 Claremont Ave Ste 118 Stockton CA 95207-5700 | |
(209) 200-8305 | |
(209) 833-7800 |
Full Name | An Elegant Sufficiency, A Psychological Corporation |
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Speciality | Psychologist |
Location | 5250 Claremont Ave Ste 118, Stockton, California |
Authorized Official Name and Position | Chad Raymond Cryder (PRESIDENT) |
Authorized Official Contact | 4088133030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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An Elegant Sufficiency, A Psychological Corporation Po Box 7067 Stockton CA 95267-0067 Ph: (209) 200-8305 | An Elegant Sufficiency, A Psychological Corporation 5250 Claremont Ave Ste 118 Stockton CA 95207-5700 Ph: (209) 200-8305 |
NPI Number | 1427655810 |
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Provider Enumeration Date | 10/08/2020 |
Last Update Date | 03/22/2024 |
Certification Date | 03/22/2024 |
Medicare PECOS PAC ID | 7315359445 |
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Medicare Enrollment ID | O20201215001348 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427655810 | NPI | - | NPPES |
CA439632 | Medicaid | CA |
Provider Name | Kara L Winter |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144391301 PECOS PAC ID: 7113016015 Enrollment ID: I20071129000630 |
Provider Name | Simone M Garrigues |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043499452 PECOS PAC ID: 2163728536 Enrollment ID: I20160310001343 |
Provider Name | Patricia M Narez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255580494 PECOS PAC ID: 7911275854 Enrollment ID: I20170616001293 |
Provider Name | Chad Cryder |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699229005 PECOS PAC ID: 6305258435 Enrollment ID: I20201215001500 |
Provider Name | Genevive M. Julien |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1083862494 PECOS PAC ID: 7618378373 Enrollment ID: I20210701001861 |
Provider Name | Jeremiah Hein |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508234907 PECOS PAC ID: 5395114342 Enrollment ID: I20221213003136 |
Provider Name | Kira S Quinn |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629395504 PECOS PAC ID: 0941675011 Enrollment ID: I20230404001522 |
Provider Name | Stacey Poon |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881119113 PECOS PAC ID: 2264897149 Enrollment ID: I20230427002475 |
Provider Name | Arthur Dwain Tolbert |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1265035406 PECOS PAC ID: 7113378290 Enrollment ID: I20240112003440 |
Provider Name | Amanda Mhc Grippo |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588282792 PECOS PAC ID: 8022467612 Enrollment ID: I20240510001964 |
Provider Name | Cynthia Lusy Salazar |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1891145041 PECOS PAC ID: 7719328541 Enrollment ID: I20240510002758 |
Provider Name | Jennifer Boss Kinser |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1700215308 PECOS PAC ID: 8729429253 Enrollment ID: I20240514004187 |
Provider Name | Guadalupe Rios Valadez |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1841777125 PECOS PAC ID: 9537500939 Enrollment ID: I20240516002004 |
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