| Jovive Psychiatry Pc | |
|
462 Stevens Ave Ste 310 Solana Beach CA 92075-2066 | |
| (510) 817-2113 | |
| Not Available |
| Full Name | Jovive Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 462 Stevens Ave Ste 310, Solana Beach, California |
| Authorized Official Name and Position | David Birdsall (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jovive Psychiatry Pc 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 851-7501 | Jovive Psychiatry Pc 462 Stevens Ave Ste 310 Solana Beach CA 92075-2066 Ph: (510) 817-2113 |
| NPI Number | 1780419838 |
|---|---|
| Provider Enumeration Date | 09/06/2024 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Medicare PECOS PAC ID | 5395277669 |
|---|---|
| Medicare Enrollment ID | O20241011003426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780419838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Herbert J Harman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932195484 PECOS PAC ID: 3577566231 Enrollment ID: I20170501001168 |
| Provider Name | Roshanak Ramezani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346402443 PECOS PAC ID: 8820222193 Enrollment ID: I20170502002397 |
| Provider Name | Clayton A Barnes Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922453513 PECOS PAC ID: 6608142831 Enrollment ID: I20171016002708 |
| Provider Name | Naweed Hayat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043771710 PECOS PAC ID: 5496124497 Enrollment ID: I20221214001666 |
| Provider Name | Emily Whisler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598250219 PECOS PAC ID: 6305181793 Enrollment ID: I20230822003562 |
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