<unavail> in Bakersfield, CA - Medicare Psychologist

is a medicare enrolled mental health clinic (Psychologist - Clinical) in Bakersfield, California. The current practice location for is 1603 California Ave Ste 137, Bakersfield, California. For appointments, you can reach them via phone at (661) 404-4123. The mailing address for is 10900 Artist Ct, Bakersfield, California and phone number is (661) 619-3193.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912766841. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (661) 404-4123.

Contact Information


	1603 California Ave Ste 137 Bakersfield CA 93304-1346
	(661) 404-4123
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Psychologist
Location	1603 California Ave Ste 137, Bakersfield, California
Authorized Official Name and Position	Kimberly Ann Cobbs (OFFICE MANAGER/BILLING & CRED AGENT)
Authorized Official Contact	6616193193
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
10900 Artist Ct Bakersfield CA 93312-2879 Ph: (661) 619-3193	1603 California Ave Ste 137 Bakersfield CA 93304-1346 Ph: (661) 404-4123

NPI Details:

NPI Number	1912766841
Provider Enumeration Date	03/14/2024
Last Update Date	01/15/2025
Certification Date	01/15/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	9739521725
Medicare Enrollment ID	O20241118000403

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912766841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	(* (Not Available))	Primary
104100000X	Social Worker	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
251B00000X	Case Management	(* (Not Available))	Secondary
251S00000X	Community/behavioral Health	(* (Not Available))	Secondary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Secondary
3104A0625X	Assisted Living Facility - Assisted Living, Mental Illness	(* (Not Available))	Secondary
310500000X	Intermediate Care Facility, Mental Illness	(* (Not Available))	Secondary
315D00000X	Hospice, Inpatient	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Julie Vong
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1780934117 PECOS PAC ID: 8022442011 Enrollment ID: I20191227002212

Provider Name	Tara Sue Garrett
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1093981524 PECOS PAC ID: 1052767555 Enrollment ID: I20231019000862

Reviews and Comments

Psychologist in Bakersfield, CA

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- Medicare Mental Health Clinic in Bakersfield, CA