| County Of Siskiyou Behavioral Health | |
|
2060 Campus Dr Yreka CA 96097-9538 | |
| (530) 841-4100 | |
| (530) 841-4230 |
| Full Name | County Of Siskiyou Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2060 Campus Dr, Yreka, California |
| Authorized Official Name and Position | Rose Marie Bullock (ADMINISTRATIVE SERVICES MANAGER) |
| Authorized Official Contact | 5308414732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Siskiyou Behavioral Health 2060 Campus Dr Yreka CA 96097-9538 Ph: (530) 841-4100 | County Of Siskiyou Behavioral Health 2060 Campus Dr Yreka CA 96097-9538 Ph: (530) 841-4100 |
| NPI Number | 1780803239 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 05/03/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 8224280706 |
|---|---|
| Medicare Enrollment ID | O20121207000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780803239 | NPI | - | NPPES |
| 01114108 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Martin A Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073653861 PECOS PAC ID: 8527080498 Enrollment ID: I20051220000990 |
| Provider Name | John L Schaeffer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497743918 PECOS PAC ID: 6507964095 Enrollment ID: I20070606000781 |
| Provider Name | Mindy L Crookham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467645382 PECOS PAC ID: 3779673363 Enrollment ID: I20071219000695 |
| Provider Name | Colleen M Krinard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427228717 PECOS PAC ID: 5092988857 Enrollment ID: I20111026000588 |
| Provider Name | Sarah G Collard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720025232 PECOS PAC ID: 1951400415 Enrollment ID: I20130211000182 |
| Provider Name | William E Lofthouse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821197567 PECOS PAC ID: 6406082320 Enrollment ID: I20131126000088 |
| Provider Name | Kathleen Timbers-coggin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407974827 PECOS PAC ID: 7618949595 Enrollment ID: I20150530000233 |
| Provider Name | Henry Anthony Scheving |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609271634 PECOS PAC ID: 4385943471 Enrollment ID: I20160425000123 |
| Provider Name | Shannon S Clymer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033530951 PECOS PAC ID: 0941570667 Enrollment ID: I20170727003087 |
| Provider Name | David L Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902913239 PECOS PAC ID: 0143291732 Enrollment ID: I20181217001033 |
| Provider Name | Karina D Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689914244 PECOS PAC ID: 7214342906 Enrollment ID: I20210210000774 |
| Provider Name | Erica Picon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144661562 PECOS PAC ID: 5294125571 Enrollment ID: I20240515001978 |
| Provider Name | Jeremy Goldsmith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437861085 PECOS PAC ID: 9032550447 Enrollment ID: I20240516002216 |
| Provider Name | Candace Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467549212 PECOS PAC ID: 9234042060 Enrollment ID: I20240524000945 |
Youth Empowerment Siskiyou Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 4th St, Yreka, CA 96097 Phone: 530-841-0844 | |
Renewed Hope Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 W Center St, Yreka, CA 96097 Phone: 530-905-2932 | |
Healtherapy, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1833 S Oregon Street, Yreka, CA 96097 Phone: 530-842-3455 Fax: 530-842-7917 | |
Karuk Tribal Health Program Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1519 S Oregon St, Yreka, CA 96097 Phone: 530-842-9200 Fax: 530-842-9207 | |
Rising Tides Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Fourth St, Suite C, Yreka, CA 96097 Phone: 530-983-6299 | |
Rose Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 4th St, Yreka, CA 96097 Phone: 530-643-9189 |