| Critical Care Psychological Specialists Inc | |
|
1100 W Stewart Dr Orange CA 92868-3849 | |
| (714) 633-9111 | |
| Not Available |
| Full Name | Critical Care Psychological Specialists Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1100 W Stewart Dr, Orange, California |
| Authorized Official Name and Position | Amanda Zintsmaster (PRESIDENT) |
| Authorized Official Contact | 7145715000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Critical Care Psychological Specialists Inc 63 Via Marbrisa San Clemente CA 92673-5685 Ph: (714) 571-5000 | Critical Care Psychological Specialists Inc 1100 W Stewart Dr Orange CA 92868-3849 Ph: (714) 633-9111 |
| NPI Number | 1114482635 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 03/08/2019 |
| Medicare PECOS PAC ID | 3375876287 |
|---|---|
| Medicare Enrollment ID | O20190607002430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114482635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Amanda Zintsmaster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396101895 PECOS PAC ID: 7810237120 Enrollment ID: I20190325001238 |
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