| Om Behavioral Health Corp | |
|
2255 Ygnacio Valley Rd Ste W Walnut Creek CA 94598-3347 | |
| (925) 406-3208 | |
| Not Available |
| Full Name | Om Behavioral Health Corp |
|---|---|
| Speciality | Counselor |
| Location | 2255 Ygnacio Valley Rd Ste W, Walnut Creek, California |
| Authorized Official Name and Position | Piyush Das (CEO) |
| Authorized Official Contact | 5072691486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Om Behavioral Health Corp 67 Exeter Ln Pleasant Hill CA 94523-2048 Ph: (412) 608-9342 | Om Behavioral Health Corp 2255 Ygnacio Valley Rd Ste W Walnut Creek CA 94598-3347 Ph: (925) 406-3208 |
| NPI Number | 1578345880 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Medicare PECOS PAC ID | 7719326636 |
|---|---|
| Medicare Enrollment ID | O20240411002549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578345880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Melanie Lorene Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366750416 PECOS PAC ID: 5698174290 Enrollment ID: I20210602001689 |
| Provider Name | Ana Wong Pacis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194323121 PECOS PAC ID: 6305239096 Enrollment ID: I20220201001501 |
| Provider Name | Clara Jeronimo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225511884 PECOS PAC ID: 7214376300 Enrollment ID: I20240423001033 |
| Provider Name | Wajeeha Yar Khan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285807933 PECOS PAC ID: 6709225626 Enrollment ID: I20240523000059 |
| Provider Name | Piyush Das |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265639140 PECOS PAC ID: 7214060763 Enrollment ID: I20240523001432 |
| Provider Name | Rabia Sana Khan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427573674 PECOS PAC ID: 8426490244 Enrollment ID: I20240524002214 |
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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 |