| Mindpath Health | |
|
3835 N Freeway Blvd Ste100 Sacramento CA 95834-1928 | |
| (916) 576-7898 | |
| (916) 285-0338 |
| Full Name | Mindpath Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3835 N Freeway Blvd, Sacramento, California |
| Authorized Official Name and Position | Jasmine Spaulding (PAYOR RELATIONS SUPERVISOR) |
| Authorized Official Contact | 9165767893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindpath Health 3835 N Freeway Blvd Ste 100 Sacramento CA 95834-1954 Ph: (916) 576-7900 | Mindpath Health 3835 N Freeway Blvd Ste100 Sacramento CA 95834-1928 Ph: (916) 576-7898 |
| NPI Number | 1154697944 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Medicare PECOS PAC ID | 0143478305 |
|---|---|
| Medicare Enrollment ID | O20120912000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154697944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert M Trimmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003925736 PECOS PAC ID: 9537056171 Enrollment ID: I20040301000135 |
| Provider Name | Cheryl A Macdonald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144335969 PECOS PAC ID: 3678567724 Enrollment ID: I20040422001700 |
| Provider Name | Christopher Morache |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689621567 PECOS PAC ID: 5698765683 Enrollment ID: I20040512001661 |
| Provider Name | Isabel Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033154182 PECOS PAC ID: 2264471671 Enrollment ID: I20050426000623 |
| Provider Name | Robert A Winston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992805444 PECOS PAC ID: 0143264473 Enrollment ID: I20050616000867 |
| Provider Name | Nita Paintal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497795223 PECOS PAC ID: 5294747465 Enrollment ID: I20060707000228 |
| Provider Name | Michelle Robin Kleiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720022619 PECOS PAC ID: 6103839600 Enrollment ID: I20060731000304 |
| Provider Name | Ni Ni Hla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356458616 PECOS PAC ID: 6507865151 Enrollment ID: I20061209000086 |
| Provider Name | Stephen F Signer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194771956 PECOS PAC ID: 1254427776 Enrollment ID: I20071015000386 |
| Provider Name | Irina S Addes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659436533 PECOS PAC ID: 0547358087 Enrollment ID: I20071115000696 |
| Provider Name | Juan A De Hoyos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336181411 PECOS PAC ID: 2365330032 Enrollment ID: I20080114000726 |
| Provider Name | Alan L Berkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578519476 PECOS PAC ID: 6901983998 Enrollment ID: I20080401000472 |
| Provider Name | Jonathan S Koelle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609803824 PECOS PAC ID: 1254400583 Enrollment ID: I20080513000377 |
| Provider Name | Noreen M Newmark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023064102 PECOS PAC ID: 2466521620 Enrollment ID: I20080514000754 |
| Provider Name | Irinel R Chiriac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871552281 PECOS PAC ID: 3173592300 Enrollment ID: I20081126000512 |
| Provider Name | John Lowry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477661619 PECOS PAC ID: 9436109691 Enrollment ID: I20090429000510 |
| Provider Name | Mayre Tamara Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518063478 PECOS PAC ID: 0749338507 Enrollment ID: I20090505000085 |
| Provider Name | Rajdeep V Ranade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164614400 PECOS PAC ID: 0446342083 Enrollment ID: I20090718000005 |
| Provider Name | Saleha Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972701324 PECOS PAC ID: 9638222599 Enrollment ID: I20090729000051 |
| Provider Name | Simrita Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326286543 PECOS PAC ID: 0547315145 Enrollment ID: I20090903000356 |
| Provider Name | Holli M Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144380940 PECOS PAC ID: 8325181746 Enrollment ID: I20100208000531 |
| Provider Name | Jorge N Dubin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497845614 PECOS PAC ID: 7012045230 Enrollment ID: I20100510000392 |
| Provider Name | Najma Mashadi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043347917 PECOS PAC ID: 5092908640 Enrollment ID: I20101015000286 |
| Provider Name | Fernando Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346297249 PECOS PAC ID: 6406044551 Enrollment ID: I20101216000389 |
| Provider Name | Heywood Zeidman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205876786 PECOS PAC ID: 8628267135 Enrollment ID: I20110114000574 |
| Provider Name | Dennis Ordas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336196211 PECOS PAC ID: 7315121258 Enrollment ID: I20110418000566 |
| Provider Name | Anil Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164462164 PECOS PAC ID: 3173708823 Enrollment ID: I20110425000339 |
| Provider Name | Welby D Nielsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962611947 PECOS PAC ID: 1658549860 Enrollment ID: I20110713000806 |
| Provider Name | Pegah Pajouhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295922391 PECOS PAC ID: 4082880588 Enrollment ID: I20120105000162 |
| Provider Name | Ajay P Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689830408 PECOS PAC ID: 9032368170 Enrollment ID: I20121004000242 |
| Provider Name | Harinder Kaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467617639 PECOS PAC ID: 3274782321 Enrollment ID: I20121004000290 |
| Provider Name | Mervin P Kril |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508051459 PECOS PAC ID: 3678723103 Enrollment ID: I20121018000525 |
| Provider Name | Karine Hakop Khatchatrian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689687634 PECOS PAC ID: 1658390570 Enrollment ID: I20140529001744 |
| Provider Name | Catherine S Brennan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346354990 PECOS PAC ID: 6406076181 Enrollment ID: I20141006000410 |
| Provider Name | Satoko Miyamoto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588839146 PECOS PAC ID: 9830319516 Enrollment ID: I20141006001652 |
| Provider Name | Unknown Priyanka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881866275 PECOS PAC ID: 3476773151 Enrollment ID: I20141006001958 |
| Provider Name | Anoopinder Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679703334 PECOS PAC ID: 8921228610 Enrollment ID: I20141006002409 |
| Provider Name | David M Finkelstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124179262 PECOS PAC ID: 1850587221 Enrollment ID: I20141008000358 |
| Provider Name | Erisa M Preston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154688000 PECOS PAC ID: 8820313976 Enrollment ID: I20150211002188 |
| Provider Name | Vishal H Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225292642 PECOS PAC ID: 3779752894 Enrollment ID: I20150909000539 |
| Provider Name | Pavan K Madan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922319573 PECOS PAC ID: 8325355134 Enrollment ID: I20150910002681 |
| Provider Name | Lorerky M Ramirez-moya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902006984 PECOS PAC ID: 4183893266 Enrollment ID: I20151020002118 |
| Provider Name | Pamela Velardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073710927 PECOS PAC ID: 4486951902 Enrollment ID: I20160329001674 |
| Provider Name | Jonathon D Porter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033461884 PECOS PAC ID: 5395035729 Enrollment ID: I20160526000449 |
| Provider Name | Shannon Helen Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710197041 PECOS PAC ID: 8921384553 Enrollment ID: I20170417000585 |
| Provider Name | Molly Mckeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457775769 PECOS PAC ID: 6901183185 Enrollment ID: I20170426002475 |
| Provider Name | Sheila Xi Cai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780625012 PECOS PAC ID: 5698679280 Enrollment ID: I20170818002890 |
| Provider Name | Rashmi Prabhudas Parmar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215217609 PECOS PAC ID: 1951673813 Enrollment ID: I20170828001787 |
| Provider Name | Amanjot Kaur Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336401041 PECOS PAC ID: 0042517773 Enrollment ID: I20170830004035 |
| Provider Name | Allie Rebecca Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003181157 PECOS PAC ID: 8628201357 Enrollment ID: I20170831003097 |
| Provider Name | Peter Farshid Afsari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013126143 PECOS PAC ID: 8628341930 Enrollment ID: I20170908001300 |
| Provider Name | Amanda Jill Horrocks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326353657 PECOS PAC ID: 1456531375 Enrollment ID: I20170908002818 |
| Provider Name | Harpreet Kaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053626549 PECOS PAC ID: 1052619335 Enrollment ID: I20170911002791 |
| Provider Name | Zainab Al-dhaher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093002636 PECOS PAC ID: 0042583106 Enrollment ID: I20170912001651 |
| Provider Name | Leela Magavi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376800110 PECOS PAC ID: 8729392782 Enrollment ID: I20170921002295 |
| Provider Name | Lindsey K Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164789400 PECOS PAC ID: 1557590791 Enrollment ID: I20170925003624 |
| Provider Name | Julie Kay Lafreniere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659465417 PECOS PAC ID: 1850665159 Enrollment ID: I20170926001715 |
| Provider Name | Erika Paula R Pizarro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619238417 PECOS PAC ID: 3870886252 Enrollment ID: I20171025001931 |
| Provider Name | Christopher Sinnappan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588740252 PECOS PAC ID: 1052348877 Enrollment ID: I20180212001650 |
| Provider Name | Prital Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801224092 PECOS PAC ID: 4688938020 Enrollment ID: I20180510001389 |
| Provider Name | Haley A Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306236799 PECOS PAC ID: 1759636459 Enrollment ID: I20180621000261 |
| Provider Name | Smita S Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184887507 PECOS PAC ID: 4082897400 Enrollment ID: I20180706002649 |
| Provider Name | Luke R Michels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366655318 PECOS PAC ID: 2769791755 Enrollment ID: I20180803002568 |
| Provider Name | Stephen Bryan Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245631373 PECOS PAC ID: 2860725058 Enrollment ID: I20190603001155 |
| Provider Name | Aditi Giri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588079255 PECOS PAC ID: 3274965223 Enrollment ID: I20191113003308 |
| Provider Name | Heidi Frances Huffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235350166 PECOS PAC ID: 9537593900 Enrollment ID: I20191218002770 |
| Provider Name | Julian Christopher Lagoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053706861 PECOS PAC ID: 1759698574 Enrollment ID: I20200902000991 |
| Provider Name | Joshua Don Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104442185 PECOS PAC ID: 0840600748 Enrollment ID: I20201104001647 |
| Provider Name | Beata A Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033277033 PECOS PAC ID: 3476873670 Enrollment ID: I20201124001401 |
| Provider Name | Denine Baldor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982910485 PECOS PAC ID: 2466621677 Enrollment ID: I20201130000406 |
| Provider Name | Anissa Stephanie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003360108 PECOS PAC ID: 8123305430 Enrollment ID: I20201210000347 |
| Provider Name | Rick Salway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376763235 PECOS PAC ID: 9537572151 Enrollment ID: I20201228001958 |
| Provider Name | Narendra B Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649320649 PECOS PAC ID: 2961695705 Enrollment ID: I20210607002055 |
| Provider Name | Hillary M Sherman-wicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114054681 PECOS PAC ID: 0547660383 Enrollment ID: I20210615002769 |
| Provider Name | Amarpreet K Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942777677 PECOS PAC ID: 8123363256 Enrollment ID: I20210701003698 |
| Provider Name | Joshua Burgett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841378247 PECOS PAC ID: 1355625112 Enrollment ID: I20210708001585 |
| Provider Name | Kim Prodger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114066404 PECOS PAC ID: 9133522964 Enrollment ID: I20210730001051 |
| Provider Name | Kizzyann Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235516352 PECOS PAC ID: 0042525818 Enrollment ID: I20210811004192 |
| Provider Name | Ericka Mabel Juarez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609024876 PECOS PAC ID: 2365846326 Enrollment ID: I20210812002389 |
| Provider Name | Jennifer Kearney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548355878 PECOS PAC ID: 5496052383 Enrollment ID: I20210819001608 |
| Provider Name | Krishna Vijayasarathi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174785810 PECOS PAC ID: 8426352865 Enrollment ID: I20210827001927 |
| Provider Name | Nicole Sheri Bencito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699289629 PECOS PAC ID: 0648676692 Enrollment ID: I20210831001658 |
| Provider Name | Andrea Paulitsch Buckingham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659767523 PECOS PAC ID: 1658618749 Enrollment ID: I20211213000467 |
| Provider Name | Phuong Daole Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700200664 PECOS PAC ID: 3779975115 Enrollment ID: I20220117000679 |
| Provider Name | Conny D. Huthsteiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548207152 PECOS PAC ID: 7810998093 Enrollment ID: I20220304002094 |
| Provider Name | Steven Benjamin Alden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427572700 PECOS PAC ID: 8729473467 Enrollment ID: I20220316003080 |
| Provider Name | Faisal Akram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760904239 PECOS PAC ID: 4385030410 Enrollment ID: I20220329002589 |
| Provider Name | Tiffany Yan Cao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013351501 PECOS PAC ID: 9032596747 Enrollment ID: I20220519000078 |
| Provider Name | Ayoosh Kakkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669992137 PECOS PAC ID: 9739453838 Enrollment ID: I20220621001647 |
| Provider Name | Poonam Deshmukh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396165056 PECOS PAC ID: 9335452226 Enrollment ID: I20230321001744 |
| Provider Name | Jane Egbufoama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469248 PECOS PAC ID: 6709132020 Enrollment ID: I20230510000158 |
| Provider Name | Vernon Everett Proctor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609192038 PECOS PAC ID: 7416307566 Enrollment ID: I20240102001900 |
| Provider Name | Berlinda Lao Abrazado |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033492707 PECOS PAC ID: 7517317597 Enrollment ID: I20240103002543 |
| Provider Name | Tasfia Abhadhan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821423898 PECOS PAC ID: 7315399466 Enrollment ID: I20240115000502 |
| Provider Name | Satoko Murase |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548381106 PECOS PAC ID: 5193169290 Enrollment ID: I20240216001492 |
| Provider Name | David Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417636598 PECOS PAC ID: 9335583905 Enrollment ID: I20240222001475 |
| Provider Name | Heather Tiffany Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033853114 PECOS PAC ID: 0840635538 Enrollment ID: I20240304004069 |
| Provider Name | Ari L Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124386875 PECOS PAC ID: 6901159557 Enrollment ID: I20240606003863 |
Panacea, Inc. At Kennedy High School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6715 Gloria Dr, Sacramento, CA 95831 Phone: 916-854-4564 | |
The Attach Place Center For Strengthening Relationships Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3406 American River Dr, Suite D, Sacramento, CA 95864 Phone: 916-403-0588 Fax: 916-403-0588 | |
Another Choice Another Chance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3111 Center Court Ln, Sacramento, CA 95843 Phone: 916-388-9418 | |
Rosetta Center For Counseling And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Corporate Way, Ste 200, Sacramento, CA 95831 Phone: 916-424-3700 | |
Sage River Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Alhambra Blvd, Sacramento, CA 95816 Phone: 530-746-8319 | |
Lions Heart Counseling Licensed Clinical Social Worker, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25 Cadillac Dr #132, Sacramento, CA 95825 Phone: 916-494-9218 Fax: 916-282-1698 | |
Esperanza Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1851 Heritage Ln Ste 260, Sacramento, CA 95815 Phone: 916-692-8519 Fax: 916-200-4992 |