Family Friendly Psychological Group, P.c. | |
500 Coffee Rd Ste C Modesto CA 95355-4926 | |
(209) 408-0896 | |
Not Available |
Full Name | Family Friendly Psychological Group, P.c. |
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Speciality | Psychologist |
Location | 500 Coffee Rd Ste C, Modesto, California |
Authorized Official Name and Position | Felicia M Agibi (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 2094080896 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Friendly Psychological Group, P.c. 2601 Oakdale Rd Ste H2, #171 Modesto CA 95355-2256 Ph: (209) 408-0896 | Family Friendly Psychological Group, P.c. 500 Coffee Rd Ste C Modesto CA 95355-4926 Ph: (209) 408-0896 |
NPI Number | 1205502044 |
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Provider Enumeration Date | 08/20/2021 |
Last Update Date | 09/05/2021 |
Certification Date | 09/05/2021 |
Medicare PECOS PAC ID | 8426449000 |
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Medicare Enrollment ID | O20211216000570 |
Identifier | Type | State | Issuer |
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1205502044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Felicia M Agibi |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1326547266 PECOS PAC ID: 0042573552 Enrollment ID: I20180416002069 |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |