| Clinical Training & Research Institute | |
|
25 Edwards Ct Ste 105 Burlingame CA 94010-2421 | |
| (650) 504-3801 | |
| Not Available |
| Full Name | Clinical Training & Research Institute |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 25 Edwards Ct Ste 105, Burlingame, California |
| Authorized Official Name and Position | Travis K Svensson (OWNER) |
| Authorized Official Contact | 6503421966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Training & Research Institute 25 Edwards Ct Ste 105 Burlingame CA 94010-2421 Ph: (650) 342-1966 | Clinical Training & Research Institute 25 Edwards Ct Ste 105 Burlingame CA 94010-2421 Ph: (650) 504-3801 |
| NPI Number | 1730115247 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Medicare PECOS PAC ID | 8325009822 |
|---|---|
| Medicare Enrollment ID | O20041027000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730115247 | NPI | - | NPPES |
| 0001131400 | Other | CA | MANAGED HEALTH NETWORK |
| 466412213 | Other | CA | TRICARE |
| 344648 | Other | CA | MHN |
| 466412213 | Other | CA | UNITED BEHAVIORAL HEALTH |
| 0005381727 | Other | KY | AETNA USA |
| 80504 | Other | CA | SAN MATEO COUNTY MENTAL H |
| 466412213 | Other | CA | MAGELLAN BEHAVIORAL HEALT |
| 5578-03 | Other | CA | PACIFICARE BEHAVIORAL HEA |
| 3697319 | Other | CA | AETNA HEALTH CALIFORNIA |
| 15-65929 | Other | CA | UNITED HEALTHCARE SERVICE |
| 151885 | Other | CA | VALUE OPTIONS |
| 1565929 | Other | CA | USBEHAVIORALHEALTHPLAN |
| Provider Name | Sandra Morrow |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1568640373 PECOS PAC ID: 2567364342 Enrollment ID: I20040122000706 |
| Provider Name | Travis K Svensson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780619783 PECOS PAC ID: 0941261333 Enrollment ID: I20041103000463 |
| Provider Name | Susan Word |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366897159 PECOS PAC ID: 6204291016 Enrollment ID: I20231019002413 |
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