| Lumen Health And Psychological Services Inc. | |
|
8421 Auburn Blvd Suite 110 Citrus Heights CA 95610 | |
| (916) 531-8359 | |
| Not Available |
| Full Name | Lumen Health And Psychological Services Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 8421 Auburn Blvd, Citrus Heights, California |
| Authorized Official Name and Position | Robert Ryan Gunton (PRESIDENT/CEO) |
| Authorized Official Contact | 9165318359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumen Health And Psychological Services Inc. 8421 Auburn Blvd Suite 110 Citrus Heights CA 95610-0359 Ph: (916) 531-8359 | Lumen Health And Psychological Services Inc. 8421 Auburn Blvd Suite 110 Citrus Heights CA 95610 Ph: (916) 531-8359 |
| NPI Number | 1366978843 |
|---|---|
| Provider Enumeration Date | 05/03/2017 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Medicare PECOS PAC ID | 5799012266 |
|---|---|
| Medicare Enrollment ID | O20190806002444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366978843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY26327 (California) | Primary |
| Provider Name | Robert Ryan Lucas Gunton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871742718 PECOS PAC ID: 8325375892 Enrollment ID: I20200206000369 |
| Provider Name | Marlene Acevedo Manzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063861391 PECOS PAC ID: 5597179051 Enrollment ID: I20210126000143 |
| Provider Name | Dorene M Fanning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831523711 PECOS PAC ID: 0345663274 Enrollment ID: I20210312001825 |
| Provider Name | Clari Lynn Poppe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881139483 PECOS PAC ID: 0042604019 Enrollment ID: I20220308002760 |
| Provider Name | Mary Sowah-quaye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841791456 PECOS PAC ID: 4789079526 Enrollment ID: I20220315000628 |
| Provider Name | Heather M Kriletich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669927323 PECOS PAC ID: 5092195016 Enrollment ID: I20220708001454 |
| Provider Name | Vivian L Ireton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639433345 PECOS PAC ID: 3971895111 Enrollment ID: I20230830001265 |
| Provider Name | Letitia E Obot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679903587 PECOS PAC ID: 0244682581 Enrollment ID: I20240123000295 |
| Provider Name | Hopraya Stidom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376005041 PECOS PAC ID: 9638521990 Enrollment ID: I20240123000862 |
| Provider Name | Raul Yepez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962835140 PECOS PAC ID: 8022460393 Enrollment ID: I20240123001119 |
| Provider Name | Lisa Hammon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285709048 PECOS PAC ID: 0446602627 Enrollment ID: I20240124000352 |
| Provider Name | Theodore Gehrig |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962554360 PECOS PAC ID: 7012360241 Enrollment ID: I20240124002003 |
| Provider Name | River Navarro |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871768358 PECOS PAC ID: 6507219748 Enrollment ID: I20240124002647 |
| Provider Name | Lynnette Spencer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649402645 PECOS PAC ID: 1850700907 Enrollment ID: I20240124002898 |
| Provider Name | Anna Murray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568651354 PECOS PAC ID: 3274986393 Enrollment ID: I20240125000545 |
| Provider Name | Jennifer Drown |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871878413 PECOS PAC ID: 9234582263 Enrollment ID: I20240126000110 |
| Provider Name | Ricardo Mancia |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518151919 PECOS PAC ID: 3779936711 Enrollment ID: I20240126000190 |
| Provider Name | Michelle Gonzales-reed |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548697931 PECOS PAC ID: 9739532771 Enrollment ID: I20240126000316 |
| Provider Name | Adrienne Yam |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609417674 PECOS PAC ID: 3971956921 Enrollment ID: I20240126000498 |
| Provider Name | Patrice Agredano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053504472 PECOS PAC ID: 3375996325 Enrollment ID: I20240126000667 |
| Provider Name | Susan Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104844737 PECOS PAC ID: 7214380278 Enrollment ID: I20240126000897 |
| Provider Name | Elijah Gildea |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073875746 PECOS PAC ID: 0345693206 Enrollment ID: I20240126001146 |
| Provider Name | Pavandeep Batth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730532201 PECOS PAC ID: 6103279062 Enrollment ID: I20240126001367 |
| Provider Name | Kristen Knight |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639582406 PECOS PAC ID: 9032562905 Enrollment ID: I20240126001696 |
| Provider Name | Eunice Fuentes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366000226 PECOS PAC ID: 2062865827 Enrollment ID: I20240129000158 |
| Provider Name | Jo B Vannatta Krebs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053836403 PECOS PAC ID: 5193178952 Enrollment ID: I20240129000355 |
| Provider Name | Traci Witt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972749323 PECOS PAC ID: 2567815343 Enrollment ID: I20240129000778 |
| Provider Name | Kelly Hanzy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164626339 PECOS PAC ID: 6608229422 Enrollment ID: I20240129002476 |
| Provider Name | Tanna Jacob |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902350390 PECOS PAC ID: 6608229257 Enrollment ID: I20240130002993 |
| Provider Name | Margaretha Ilgen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891898714 PECOS PAC ID: 1951754522 Enrollment ID: I20240131000030 |
| Provider Name | Leticia Facundo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225493836 PECOS PAC ID: 9931542925 Enrollment ID: I20240207000060 |
| Provider Name | Bonnie Helmick-o'brien |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235283029 PECOS PAC ID: 4486097482 Enrollment ID: I20240207000101 |
| Provider Name | Debra M Califia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033590856 PECOS PAC ID: 2668810763 Enrollment ID: I20240409002900 |
| Provider Name | Jens Blum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093353112 PECOS PAC ID: 2668813619 Enrollment ID: I20240508003419 |
Changing Minds Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6381 Auburn Blvd Ste A, Citrus Heights, CA 95621 Phone: 916-296-3987 | |
Sunlight Counseling Center-licensed Clinical Social Worker Professiona Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7921 Kingswood Dr Ste A5-e, Citrus Heights, CA 95610 Phone: 916-690-0446 | |
Sierra Forever Families Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8421 Auburn Blvd Ste 3, Citrus Heights, CA 95610 Phone: 916-722-6100 | |
Learning Arts Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6400 Tupelo Dr, Citrus Heights, CA 95621 Phone: 916-729-3098 Fax: 916-729-3006 | |
Laureen A Lester Psyd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7921 Kingswood Dr Ste A3-i, Citrus Heights, CA 95610 Phone: 916-858-9346 | |
Learning Arts Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6400 Tupelo Dr, Citrus Heights, CA 95621 Phone: 916-729-3098 Fax: 916-729-3006 | |
Olive Branch Autism Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5750 Sunrise Blvd Ste 210b, Citrus Heights, CA 95610 Phone: 916-794-2326 Fax: 916-626-4682 |