| California Counseling Associates A Licensed Professional Clinical Cou | |
|
1242 Park St Suite C Alameda CA 94501-5500 | |
| (510) 521-3500 | |
| Not Available |
| Full Name | California Counseling Associates A Licensed Professional Clinical Cou |
|---|---|
| Speciality | Psychologist |
| Location | 1242 Park St, Alameda, California |
| Authorized Official Name and Position | Maria Napitan (OFFICE MANAGER/BILLING MANAGER) |
| Authorized Official Contact | 5108129410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Counseling Associates A Licensed Professional Clinical Cou 1242 Park St Suite C Alameda CA 94501-5500 Ph: (510) 521-3500 | California Counseling Associates A Licensed Professional Clinical Cou 1242 Park St Suite C Alameda CA 94501-5500 Ph: (510) 521-3500 |
| NPI Number | 1407888779 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 1658645247 |
|---|---|
| Medicare Enrollment ID | O20170920002359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407888779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 9002 (California) | Primary |
| Provider Name | Debra Puryear |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942463047 PECOS PAC ID: 9830465871 Enrollment ID: I20171023000531 |
| Provider Name | Emily E Muse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457558199 PECOS PAC ID: 2567738503 Enrollment ID: I20171023002339 |
| Provider Name | Taryn L Propersi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326297466 PECOS PAC ID: 0244480549 Enrollment ID: I20171107001415 |
| Provider Name | Elana R Guy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619168291 PECOS PAC ID: 8820364037 Enrollment ID: I20171108002212 |
| Provider Name | Ann Keilman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912550310 PECOS PAC ID: 8426424144 Enrollment ID: I20221021000447 |
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