| Catalyst Neuromedical Center Pc | |
|
2420 Sonoma St Redding CA 96001-3033 | |
| (530) 999-2533 | |
| Not Available |
| Full Name | Catalyst Neuromedical Center Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2420 Sonoma St, Redding, California |
| Authorized Official Name and Position | Karen R Garnaas (OWNER) |
| Authorized Official Contact | 5309992533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst Neuromedical Center Pc 2420 Sonoma St Ste B Redding CA 96001-3033 Ph: (530) 999-2533 | Catalyst Neuromedical Center Pc 2420 Sonoma St Redding CA 96001-3033 Ph: (530) 999-2533 |
| NPI Number | 1558973792 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Medicare PECOS PAC ID | 5193135432 |
|---|---|
| Medicare Enrollment ID | O20201028000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558973792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Maria Jose Servioli Verde |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205169109 PECOS PAC ID: 9537466321 Enrollment ID: I20191114001469 |
| Provider Name | Karen R Garnaas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124046776 PECOS PAC ID: 7012081946 Enrollment ID: I20200116002453 |
| Provider Name | Faith Christine Clause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093250862 PECOS PAC ID: 8628355526 Enrollment ID: I20220322001145 |
| Provider Name | Rachael Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992093272 PECOS PAC ID: 3577797646 Enrollment ID: I20240123000953 |
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