| Colusa County Mental Health | |
|
162 E Carson St Colusa CA 95932-2866 | |
| (530) 458-0520 | |
| (530) 458-7751 |
| Full Name | Colusa County Mental Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 162 E Carson St, Colusa, California |
| Authorized Official Name and Position | Tony Hobson (DIRECTOR) |
| Authorized Official Contact | 5304580520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colusa County Mental Health 162 E Carson St Colusa CA 95932-2866 Ph: (530) 458-0520 | Colusa County Mental Health 162 E Carson St Colusa CA 95932-2866 Ph: (530) 458-0520 |
| NPI Number | 1902929052 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 04/09/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 3173656402 |
|---|---|
| Medicare Enrollment ID | O20120405000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902929052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
| Provider Name | Michael T Ricciardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205840618 PECOS PAC ID: 5092628024 Enrollment ID: I20031106000598 |
| Provider Name | Prudencio Samson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013045863 PECOS PAC ID: 1254435100 Enrollment ID: I20081112000803 |
| Provider Name | Gerardo S Toribio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972679496 PECOS PAC ID: 0345416079 Enrollment ID: I20111230000508 |
| Provider Name | Susan K Madson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104987197 PECOS PAC ID: 7214181957 Enrollment ID: I20130206000178 |
| Provider Name | Mark W Mcgregor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881845386 PECOS PAC ID: 4789967423 Enrollment ID: I20170203001360 |
| Provider Name | Brizia G Tafolla Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134261183 PECOS PAC ID: 4183909716 Enrollment ID: I20170323000053 |
| Provider Name | Elizabeth S Guinto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992026553 PECOS PAC ID: 8123454493 Enrollment ID: I20200204002767 |
| Provider Name | Nancy C Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427489095 PECOS PAC ID: 6103220884 Enrollment ID: I20210803000305 |
| Provider Name | Sadiq H Mirza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194166298 PECOS PAC ID: 2062818388 Enrollment ID: I20210910001605 |
| Provider Name | Henry S Kane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609839273 PECOS PAC ID: 4284026758 Enrollment ID: I20220112001814 |
Colusa County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 E Carson St Ste A, Colusa, CA 95932 Phone: 530-458-0520 | |
Colusa County Department Of Substance Abuse Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 E Carson St, Colusa, CA 95932 Phone: 530-458-0520 | |
Colusa County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 E Carson St Ste A, Colusa, CA 95932 Phone: 530-459-0530 |