| Concept Healthcare Psychology Group Inc | |
|
4901 Morena Blvd Suite 109 San Diego CA 92117-3423 | |
| (858) 272-3992 | |
| (858) 272-3804 |
| Full Name | Concept Healthcare Psychology Group Inc |
|---|---|
| Speciality | Psychologist |
| Location | 4901 Morena Blvd, San Diego, California |
| Authorized Official Name and Position | Joseph M. Casciani (CEO) |
| Authorized Official Contact | 8582723992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concept Healthcare Psychology Group Inc 4901 Morena Blvd Suite 109 San Diego CA 92117-3423 Ph: (858) 272-3992 | Concept Healthcare Psychology Group Inc 4901 Morena Blvd Suite 109 San Diego CA 92117-3423 Ph: (858) 272-3992 |
| NPI Number | 1598925224 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 05/13/2009 |
| Medicare PECOS PAC ID | 6608937016 |
|---|---|
| Medicare Enrollment ID | O20150106001239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598925224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Dennis James Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558406629 PECOS PAC ID: 0143535344 Enrollment ID: I20150818003649 |
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