Comprehensive Psychiatric Solutions, P.c. | |
1287 Fulton Rd Santa Rosa CA 95401-4923 | |
(707) 800-7700 | |
Not Available |
Full Name | Comprehensive Psychiatric Solutions, P.c. |
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Speciality | Psychiatry & Neurology |
Location | 1287 Fulton Rd, Santa Rosa, California |
Authorized Official Name and Position | Hana Attar (AUTHORIZED REPRESENTATIVE) |
Authorized Official Contact | 2489055091 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Psychiatric Solutions, P.c. 1450 W Long Lake Rd Ste 340 Troy MI 48098-6330 Ph: (248) 905-5091 | Comprehensive Psychiatric Solutions, P.c. 1287 Fulton Rd Santa Rosa CA 95401-4923 Ph: (707) 800-7700 |
NPI Number | 1740758754 |
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Provider Enumeration Date | 11/07/2018 |
Last Update Date | 09/20/2024 |
Certification Date | 09/20/2024 |
Medicare PECOS PAC ID | 0042629701 |
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Medicare Enrollment ID | O20210510000975 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740758754 | NPI | - | NPPES |
Provider Name | Charles V Panadero |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902881808 PECOS PAC ID: 0648210427 Enrollment ID: I20050511000489 |
Provider Name | Sanjay Kumar Masson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1982609756 PECOS PAC ID: 4789604497 Enrollment ID: I20051128000344 |
Provider Name | Alexander Hazel |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891769105 PECOS PAC ID: 1254424781 Enrollment ID: I20070829000623 |
Provider Name | Robin F Lin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972587137 PECOS PAC ID: 8224106596 Enrollment ID: I20081014000476 |
Provider Name | Kiet Truong |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912198565 PECOS PAC ID: 5991973877 Enrollment ID: I20110720000215 |
Provider Name | Nancy B Herron |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780621367 PECOS PAC ID: 9032023387 Enrollment ID: I20160328000514 |
Provider Name | Siya Mehtani |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629459615 PECOS PAC ID: 1153618350 Enrollment ID: I20161222001057 |
Provider Name | Heidi Avenelle Dahl-rosenbaum |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851436638 PECOS PAC ID: 9335472778 Enrollment ID: I20190617003388 |
Provider Name | Miyeon Vivienne Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295259141 PECOS PAC ID: 1951735034 Enrollment ID: I20191224000378 |
Provider Name | Sukhmandeep Baidwan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346695004 PECOS PAC ID: 2163831017 Enrollment ID: I20210506000764 |
Provider Name | Peter Nierman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801994769 PECOS PAC ID: 9739186669 Enrollment ID: I20210510001417 |
Provider Name | Setare Eslami |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508399122 PECOS PAC ID: 5698177244 Enrollment ID: I20210706002003 |
Provider Name | Jeremy Matuszak |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891819033 PECOS PAC ID: 7618020900 Enrollment ID: I20210707000206 |
Provider Name | Jonathan Guillermo Mariscal Quintana |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649792748 PECOS PAC ID: 4284037920 Enrollment ID: I20210719003287 |
Provider Name | Robert Connor |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649260506 PECOS PAC ID: 7517281561 Enrollment ID: I20210914001890 |
Provider Name | David Roth |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831197250 PECOS PAC ID: 5991974073 Enrollment ID: I20210921001622 |
Provider Name | Leo Ernie Manangan Domingo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073281754 PECOS PAC ID: 0042603862 Enrollment ID: I20220131001023 |
Provider Name | Cuneyt Tegin |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1265850234 PECOS PAC ID: 1456626530 Enrollment ID: I20220405000923 |
Provider Name | Ayoosh Kakkar |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669992137 PECOS PAC ID: 9739453838 Enrollment ID: I20220621001647 |
Provider Name | Naren Clark |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437671070 PECOS PAC ID: 7911381538 Enrollment ID: I20220831002288 |
Provider Name | Anthony Raymond Fernandez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093441875 PECOS PAC ID: 9537536123 Enrollment ID: I20221111000474 |
Provider Name | Gezelle Christine Azar |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861954687 PECOS PAC ID: 7618349515 Enrollment ID: I20230201003151 |
Provider Name | Cori L Stevens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912600131 PECOS PAC ID: 4486015963 Enrollment ID: I20230731003677 |
Provider Name | Matthew Walt Gerenz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992385785 PECOS PAC ID: 9537527031 Enrollment ID: I20230807003122 |
Provider Name | Allison Julia Munn |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376066555 PECOS PAC ID: 9638409261 Enrollment ID: I20230925002291 |
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