| Nathaniel Pyzik | |
|
1350 Cherry St Ste 4 San Carlos CA 94070-3008 | |
| (650) 762-8741 | |
| (650) 683-6613 |
| Full Name | Nathaniel Pyzik |
|---|---|
| Speciality | Counselor |
| Location | 1350 Cherry St Ste 4, San Carlos, California |
| Authorized Official Name and Position | Nathaniel G Pyzik (THERAPIST, OWNER OF BUSINESS) |
| Authorized Official Contact | 6507628741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathaniel Pyzik 1350 Cherry St Ste 4 San Carlos CA 94070-3008 Ph: (650) 762-8741 | Nathaniel Pyzik 1350 Cherry St Ste 4 San Carlos CA 94070-3008 Ph: (650) 762-8741 |
| NPI Number | 1811754476 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Medicare PECOS PAC ID | 9032557798 |
|---|---|
| Medicare Enrollment ID | O20240401002956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811754476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nathaniel Gabriel Pyzik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114561677 PECOS PAC ID: 0941648604 Enrollment ID: I20240418003885 |
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