| Nysa Therapy Inc | |
|
572 Rio Lindo Ave Ste 203 Chico CA 95926-1851 | |
| (530) 891-4400 | |
| (530) 636-4772 |
| Full Name | Nysa Therapy Inc |
|---|---|
| Speciality | Psychologist |
| Location | 572 Rio Lindo Ave Ste 203, Chico, California |
| Authorized Official Name and Position | Rebecca Diggs (ADMINISTRATOR) |
| Authorized Official Contact | 5305928666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nysa Therapy Inc 572 Rio Lindo Ave Ste 203 Chico CA 95926-1851 Ph: (530) 891-4400 | Nysa Therapy Inc 572 Rio Lindo Ave Ste 203 Chico CA 95926-1851 Ph: (530) 891-4400 |
| NPI Number | 1316307747 |
|---|---|
| Provider Enumeration Date | 02/26/2016 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Medicare PECOS PAC ID | 0042569451 |
|---|---|
| Medicare Enrollment ID | O20180817002844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316307747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Stephen Diggs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700986908 PECOS PAC ID: 5193610269 Enrollment ID: I20040217001194 |
| Provider Name | Ta'shanne Watu Horn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568620342 PECOS PAC ID: 9436485109 Enrollment ID: I20190802000044 |
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