| Inyo County Behavioral Heatlh | |
|
1360 N Main St Ste 124 Bishop CA 93514-3013 | |
| (760) 873-6533 | |
| (760) 873-3277 |
| Full Name | Inyo County Behavioral Heatlh |
|---|---|
| Speciality | Clinic/Center |
| Location | 1360 N Main St Ste 124, Bishop, California |
| Authorized Official Name and Position | Anna Scott (INTERIM MENTAL HEALTH DIRECTOR) |
| Authorized Official Contact | 7608722590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inyo County Behavioral Heatlh 1360 N Main St Ste 124 Bishop CA 93514-3013 Ph: (760) 873-6533 | Inyo County Behavioral Heatlh 1360 N Main St Ste 124 Bishop CA 93514-3013 Ph: (760) 873-6533 |
| NPI Number | 1386749091 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 1052457561 |
|---|---|
| Medicare Enrollment ID | O20091013000651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386749091 | NPI | - | NPPES |
| ZZT11964F | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
| Provider Name | James A Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417054511 PECOS PAC ID: 5698842805 Enrollment ID: I20080930000066 |
| Provider Name | Veronica J Davalos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851556435 PECOS PAC ID: 7719399708 Enrollment ID: I20201216000864 |
| Provider Name | Skylene Katherine Milos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376966341 PECOS PAC ID: 8628433406 Enrollment ID: I20230501000747 |
| Provider Name | Perla Vea Gastelum |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073154282 PECOS PAC ID: 9335590678 Enrollment ID: I20240110004626 |
Fee For Service Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Grove St Ste J, Bishop, CA 93514 Phone: 760-873-6533 Fax: 760-873-3277 | |
Strive Behavioral Intervention Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 E Line St Ste A, Bishop, CA 93514 Phone: 760-582-2005 | |
Owens Valley Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 686 W Line St, Bishop, CA 93514 Phone: 760-920-6210 | |
North Star Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 W Elm St # 6, Bishop, CA 93514 Phone: 760-873-4206 Fax: 760-873-4206 | |
Nicholas J. Dogris, Ph.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 536 W Line St Ste A, Bishop, CA 93514 Phone: 760-872-9153 | |
Fee For Service Psychiatrist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Grove St Ste J, Bishop, CA 93514 Phone: 760-873-6533 Fax: 760-873-3277 |