Atomic Shrink Psychology, Inc | |
40585 Big Bear Blvd Suite 2 Big Bear Lake CA 92315 | |
(909) 255-5351 | |
(800) 976-0803 |
Full Name | Atomic Shrink Psychology, Inc |
---|---|
Speciality | Psychologist |
Location | 40585 Big Bear Blvd, Big Bear Lake, California |
Authorized Official Name and Position | Patricia Keiko Masuda-story (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8184816581 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Atomic Shrink Psychology, Inc 17328 Ventura Blvd Suite 134 Encino CA 91316-3904 Ph: (818) 481-6581 | Atomic Shrink Psychology, Inc 40585 Big Bear Blvd Suite 2 Big Bear Lake CA 92315 Ph: (909) 255-5351 |
NPI Number | 1770922817 |
---|---|
Provider Enumeration Date | 06/21/2013 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 8729364310 |
---|---|
Medicare Enrollment ID | O20180314001431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770922817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY20385 (California) | Primary |
Provider Name | Patricia K Masuda-story |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1467490987 PECOS PAC ID: 3577578541 Enrollment ID: I20060213000254 |
Joshua Marshall Licensed Clinical Social Worker Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 41945 Big Bear Blvd # 208, Big Bear Lake, CA 92315 Phone: 909-351-0743 | |
Lutheran Social Services Of Southern California Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41945 Big Bear Blvd Ste 222, Big Bear Lake, CA 92315 Phone: 909-866-5070 Fax: 909-878-3228 | |
Operation Breakthrough Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40880 Pedder Rd, Big Bear Lake, CA 92315 Phone: 909-866-5437 Fax: 909-866-8555 | |