| Community Mental Health Services | |
|
805 4th St Paso Robles CA 93446 | |
| (805) 781-4700 | |
| Not Available |
| Full Name | Community Mental Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 4th St, Paso Robles, California |
| Authorized Official Name and Position | M. Daisy Ilano (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8057814700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Mental Health Services 2178 Johnson Ave San Luis Obispo CA 93401-4535 Ph: (805) 781-4700 | Community Mental Health Services 805 4th St Paso Robles CA 93446 Ph: (805) 781-4700 |
| NPI Number | 1134287634 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 02/21/2022 |
| Certification Date | 02/09/2022 |
| Medicare PECOS PAC ID | 9032020094 |
|---|---|
| Medicare Enrollment ID | O20050407000794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134287634 | NPI | - | NPPES |
| 4027 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
| Provider Name | Stefan M Lampe-strang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366647463 PECOS PAC ID: 0941190607 Enrollment ID: I20040317000295 |
| Provider Name | Paul D Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366645475 PECOS PAC ID: 5799675948 Enrollment ID: I20040319000407 |
| Provider Name | Kevork K Iskenderian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932112455 PECOS PAC ID: 3274596259 Enrollment ID: I20041110000735 |
| Provider Name | Maria Daisy T Ilano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083638100 PECOS PAC ID: 3678504305 Enrollment ID: I20050823000474 |
| Provider Name | Sanmukan Surulinathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881780583 PECOS PAC ID: 8628140340 Enrollment ID: I20080711000306 |
| Provider Name | Rajdeep V Ranade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164614400 PECOS PAC ID: 0446342083 Enrollment ID: I20090718000005 |
| Provider Name | Christine S Mulkerin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134392608 PECOS PAC ID: 7810043171 Enrollment ID: I20090929000164 |
| Provider Name | Joshua C Deane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225080468 PECOS PAC ID: 3779623053 Enrollment ID: I20091217000215 |
| Provider Name | Stephen R Griffith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548427487 PECOS PAC ID: 0345383170 Enrollment ID: I20100202000755 |
| Provider Name | Rose Drago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306904982 PECOS PAC ID: 9739138322 Enrollment ID: I20100920000500 |
| Provider Name | Penny E Borenstein |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1588830863 PECOS PAC ID: 8628266681 Enrollment ID: I20101217000702 |
| Provider Name | Arturo Medrano Uribe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689862088 PECOS PAC ID: 0345428066 Enrollment ID: I20110721000077 |
| Provider Name | Jennifer C Nagode |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043358724 PECOS PAC ID: 0244403210 Enrollment ID: I20111108000395 |
| Provider Name | Laurel Ann Beason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861767352 PECOS PAC ID: 1355504747 Enrollment ID: I20120522001286 |
| Provider Name | Julie Ann H Phenco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154520708 PECOS PAC ID: 5698811818 Enrollment ID: I20130515000632 |
| Provider Name | Samuel B Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083971162 PECOS PAC ID: 1254567845 Enrollment ID: I20131204001891 |
| Provider Name | Matthew N Lilly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346571643 PECOS PAC ID: 7315081387 Enrollment ID: I20131227000312 |
| Provider Name | Erica L O'neal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962414722 PECOS PAC ID: 8628079647 Enrollment ID: I20141124000526 |
| Provider Name | Harkirat S Saggu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306053392 PECOS PAC ID: 3274716584 Enrollment ID: I20150210000983 |
| Provider Name | Jenna Eyton Wolfson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265557136 PECOS PAC ID: 0143531202 Enrollment ID: I20150617000176 |
| Provider Name | Katherine Yarborough |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043304983 PECOS PAC ID: 8628384096 Enrollment ID: I20150831001321 |
| Provider Name | Joshua Mark Flatow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487996302 PECOS PAC ID: 9335434430 Enrollment ID: I20160829002196 |
| Provider Name | Gregory W Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326192816 PECOS PAC ID: 0840298337 Enrollment ID: I20161110000680 |
| Provider Name | Anthony Andrew Mazzarulli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801090006 PECOS PAC ID: 8426124439 Enrollment ID: I20170515001836 |
| Provider Name | April D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528054475 PECOS PAC ID: 1850667080 Enrollment ID: I20171016002903 |
| Provider Name | Brian Keith Sparks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780940403 PECOS PAC ID: 6305193434 Enrollment ID: I20180720001563 |
| Provider Name | Chris Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710306345 PECOS PAC ID: 8820342900 Enrollment ID: I20181107003013 |
| Provider Name | George S Forgeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760859508 PECOS PAC ID: 0345505095 Enrollment ID: I20181211002528 |
| Provider Name | Jayana M Dewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316337181 PECOS PAC ID: 4385978287 Enrollment ID: I20190626003285 |
| Provider Name | Frederick Semenov Rosen |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1063502839 PECOS PAC ID: 5698746972 Enrollment ID: I20190911001650 |
| Provider Name | Jessica Lynne Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487802773 PECOS PAC ID: 9234534280 Enrollment ID: I20210910000724 |
| Provider Name | Heather S Rosdail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407578537 PECOS PAC ID: 5193199933 Enrollment ID: I20230320000229 |
| Provider Name | Baljit S Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932724168 PECOS PAC ID: 1759794506 Enrollment ID: I20230320001300 |
| Provider Name | Elizabeth Jean Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437292653 PECOS PAC ID: 0143695098 Enrollment ID: I20230710002274 |
| Provider Name | Zina M Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639513617 PECOS PAC ID: 1759667389 Enrollment ID: I20230921003564 |
| Provider Name | Avery J Paulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013489715 PECOS PAC ID: 0840645933 Enrollment ID: I20231010001294 |
| Provider Name | Stephen T. Penepacker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336165125 PECOS PAC ID: 5698719821 Enrollment ID: I20240117000852 |
Jane Y Fong, Phd & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 Spring St Ste A, Paso Robles, CA 93446 Phone: 805-239-9595 Fax: 805-239-9119 | |
Nicole Williams Marriage And Family Therapy Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 21st St Ste 202, Paso Robles, CA 93446 Phone: 831-222-0132 | |
Family Care Network, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Creston Rd, Paso Robles, CA 93446 Phone: 805-781-3535 | |
Central Coast Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 Vine St, Suite A, Paso Robles, CA 93446 Phone: 805-591-7234 Fax: 805-259-4720 | |
Family Care Network, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Beechwood, Paso Robles, CA 93446 Phone: 805-781-3535 | |
Virginia Peterson Elementary School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Beechwood Dr, Paso Robles, CA 93446 Phone: 805-769-1250 |