| Dear Me Psychotherapy | |
|
2357 Ralston Dr San Jose CA 95148-4036 | |
| (562) 600-0120 | |
| Not Available |
| Full Name | Dear Me Psychotherapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 2357 Ralston Dr, San Jose, California |
| Authorized Official Name and Position | Man Carina Tsang (CEO) |
| Authorized Official Contact | 4086019920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dear Me Psychotherapy 2357 Ralston Dr San Jose CA 95148-4036 Ph: () - | Dear Me Psychotherapy 2357 Ralston Dr San Jose CA 95148-4036 Ph: (562) 600-0120 |
| NPI Number | 1326734914 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Medicare PECOS PAC ID | 1254795107 |
|---|---|
| Medicare Enrollment ID | O20230912001285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326734914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Yajun Zeng |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881274371 PECOS PAC ID: 0143684092 Enrollment ID: I20230913003505 |
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