| Linder Psychiatric Group, Inc. | |
|
193 Blue Ravine Rd Suite 170 Folsom CA 95630-4756 | |
| (916) 608-0714 | |
| (916) 608-0717 |
| Full Name | Linder Psychiatric Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 193 Blue Ravine Rd, Folsom, California |
| Authorized Official Name and Position | Renae Linder (VP) |
| Authorized Official Contact | 9166080714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linder Psychiatric Group, Inc. 193 Blue Ravine Rd Suite 170 Folsom CA 95630-4756 Ph: (916) 608-0714 | Linder Psychiatric Group, Inc. 193 Blue Ravine Rd Suite 170 Folsom CA 95630-4756 Ph: (916) 608-0714 |
| NPI Number | 1851569784 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 12/15/2009 |
| Medicare PECOS PAC ID | 0042630444 |
|---|---|
| Medicare Enrollment ID | O20201024000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851569784 | NPI | - | NPPES |
| Provider Name | Vladlen V Pogorelov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457526105 PECOS PAC ID: 8729133673 Enrollment ID: I20090828000607 |
| Provider Name | Jehan Helmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497986285 PECOS PAC ID: 7719210517 Enrollment ID: I20191126002893 |
| Provider Name | Nnaemeka G Anosike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740783455 PECOS PAC ID: 9739599077 Enrollment ID: I20201028000195 |
| Provider Name | Kathleen Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285197350 PECOS PAC ID: 3173933017 Enrollment ID: I20201105000533 |
| Provider Name | Doan Thuy Duc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710566047 PECOS PAC ID: 5698184943 Enrollment ID: I20210517002733 |
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