| Mt Diablo Memory Center, A Psychological Corporation | |
|
1910 Olympic Blvd Ste 220 Walnut Creek CA 94596-5071 | |
| (925) 988-0569 | |
| (925) 478-7930 |
| Full Name | Mt Diablo Memory Center, A Psychological Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1910 Olympic Blvd Ste 220, Walnut Creek, California |
| Authorized Official Name and Position | Eric Freitag (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9259880569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Diablo Memory Center, A Psychological Corporation 1910 Olympic Blvd Ste 220 Walnut Creek CA 94596-5071 Ph: (925) 988-0569 | Mt Diablo Memory Center, A Psychological Corporation 1910 Olympic Blvd Ste 220 Walnut Creek CA 94596-5071 Ph: (925) 988-0569 |
| NPI Number | 1851537450 |
|---|---|
| Provider Enumeration Date | 01/02/2009 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 7416004908 |
|---|---|
| Medicare Enrollment ID | O20090421000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851537450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY21325 (California) | Primary |
| Provider Name | Eric J Freitag |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437291168 PECOS PAC ID: 8729178595 Enrollment ID: I20071217000451 |
Raymond S. Ruzicano, M.d.inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 112 La Casa Via, Suite 345, Walnut Creek, CA 94598 Phone: 925-943-1400 | |
Alves Psychotherapy Prof. Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1399 Ygnacio Valley Rd Ste 24, Walnut Creek, CA 94598 Phone: 925-300-5925 | |
Bountiful Health Family Therapy Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1990 N California Blvd Fl 8, Walnut Creek, CA 94596 Phone: 949-232-4446 | |
All Better Together, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1990 N California Blvd, 8th Floor, Walnut Creek, CA 94596 Phone: 510-517-6949 | |
Andrew Potter, Ph.d., Psychologist, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 Maria Ln Ste 300, Walnut Creek, CA 94596 Phone: 617-816-1818 | |
Tina Larson Professional Clinical Counselor Prof Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1255 Treat Blvd Ste 300, Walnut Creek, CA 94597 Phone: 703-980-9205 | |
John Lino Gasperoni, Ph.d., Psychologist, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3050 Citrus Cir Ste 202, #202, Walnut Creek, CA 94598 Phone: 925-279-1046 Fax: 925-279-1146 |