| Crossbrook Care | |
|
500 Capitol Mall Ste 2350 Sacramento CA 95814-4760 | |
| (949) 436-7224 | |
| (310) 756-1225 |
| Full Name | Crossbrook Care |
|---|---|
| Speciality | Psychologist |
| Location | 500 Capitol Mall Ste 2350, Sacramento, California |
| Authorized Official Name and Position | Kim Do (CREDENTIALING AND BILLING MANAGER) |
| Authorized Official Contact | 9092628372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossbrook Care 500 Capitol Mall Ste 2350 Sacramento CA 95814-4760 Ph: (949) 436-7224 | Crossbrook Care 500 Capitol Mall Ste 2350 Sacramento CA 95814-4760 Ph: (949) 436-7224 |
| NPI Number | 1962123257 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 03/23/2023 |
| Certification Date | 03/23/2023 |
| Medicare PECOS PAC ID | 5698130979 |
|---|---|
| Medicare Enrollment ID | O20230421000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962123257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marsha Lela Chinichian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598164782 PECOS PAC ID: 3971834938 Enrollment ID: I20191007001466 |
| Provider Name | Kimberly L Wells |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588901938 PECOS PAC ID: 2769896422 Enrollment ID: I20210121000568 |
| Provider Name | Megan Marie Lowry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093842650 PECOS PAC ID: 7113371683 Enrollment ID: I20231002003762 |
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