| Jda Psychology Assessment & Services | |
|
1201 N Sutter St Stockton CA 95202-1506 | |
| (209) 855-1006 | |
| (209) 408-1160 |
| Full Name | Jda Psychology Assessment & Services |
|---|---|
| Speciality | Psychologist |
| Location | 1201 N Sutter St, Stockton, California |
| Authorized Official Name and Position | Juliet Acolatse (MANAGER) |
| Authorized Official Contact | 2098551006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jda Psychology Assessment & Services 1201 N Sutter St Stockton CA 95202-1506 Ph: (209) 855-1006 | Jda Psychology Assessment & Services 1201 N Sutter St Stockton CA 95202-1506 Ph: (209) 855-1006 |
| NPI Number | 1801445929 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 03/26/2020 |
| Certification Date | 03/26/2020 |
| Medicare PECOS PAC ID | 3577992254 |
|---|---|
| Medicare Enrollment ID | O20200331003397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801445929 | NPI | - | NPPES |
| Provider Name | Juliet Darko Acolatse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568525954 PECOS PAC ID: 1557521770 Enrollment ID: I20120327000119 |
| Provider Name | Vivian Chukwuemeka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447496096 PECOS PAC ID: 3971917485 Enrollment ID: I20210125001363 |
| Provider Name | Carol Ann Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700281367 PECOS PAC ID: 7113303991 Enrollment ID: I20220930002825 |
| Provider Name | Ivania Haslam Rosado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053535971 PECOS PAC ID: 2062869910 Enrollment ID: I20231114002585 |
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