| Lifestance Health | |
|
490 Post St Ste 1043 San Francisco CA 94102-1301 | |
| (415) 296-5290 | |
| (415) 296-5299 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist |
| Location | 490 Post St Ste 1043, San Francisco, California |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252139398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 490 Post St Ste 1043 San Francisco CA 94102-1301 Ph: (415) 409-1881 | Lifestance Health 490 Post St Ste 1043 San Francisco CA 94102-1301 Ph: (415) 296-5290 |
| NPI Number | 1023125465 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Medicare PECOS PAC ID | 2567469174 |
|---|---|
| Medicare Enrollment ID | O20061024000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023125465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelly A Swain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548274939 PECOS PAC ID: 0244144350 Enrollment ID: I20031113000488 |
| Provider Name | Inessa Essaian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366402976 PECOS PAC ID: 5092608612 Enrollment ID: I20040205001318 |
| Provider Name | Lukas Alexanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780646331 PECOS PAC ID: 8527956846 Enrollment ID: I20040315000602 |
| Provider Name | Usha R Ramineni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255368080 PECOS PAC ID: 3173515772 Enrollment ID: I20040401001859 |
| Provider Name | Sherry L Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184645582 PECOS PAC ID: 4880680784 Enrollment ID: I20040424000424 |
| Provider Name | Levon A Ter Bagdasarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891793089 PECOS PAC ID: 6103801428 Enrollment ID: I20040621001989 |
| Provider Name | Shannon T Suo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881670438 PECOS PAC ID: 5698730216 Enrollment ID: I20041123000653 |
| Provider Name | Cynde Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275553083 PECOS PAC ID: 0446217889 Enrollment ID: I20041216000752 |
| Provider Name | Marina Katz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366498446 PECOS PAC ID: 3274587225 Enrollment ID: I20050311000591 |
| Provider Name | Mel H Lipsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902876741 PECOS PAC ID: 5294780235 Enrollment ID: I20050314000181 |
| Provider Name | Beatriz L Marfori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053484006 PECOS PAC ID: 6709824626 Enrollment ID: I20050421000391 |
| Provider Name | David W Debus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013024744 PECOS PAC ID: 0648219048 Enrollment ID: I20050426000503 |
| Provider Name | Shawn Hersevoort |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518013317 PECOS PAC ID: 3779519582 Enrollment ID: I20050713000447 |
| Provider Name | Janice M Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598771230 PECOS PAC ID: 1254351596 Enrollment ID: I20051130000963 |
| Provider Name | Che A Leseur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821027566 PECOS PAC ID: 3375550296 Enrollment ID: I20060316000480 |
| Provider Name | Elizabeth A Murney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891837803 PECOS PAC ID: 9739197039 Enrollment ID: I20060328000752 |
| Provider Name | Christine E Calix |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740226331 PECOS PAC ID: 9133123615 Enrollment ID: I20060914000547 |
| Provider Name | Philip W Weck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063432698 PECOS PAC ID: 0547267478 Enrollment ID: I20061106000595 |
| Provider Name | Eric C Behrman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265594931 PECOS PAC ID: 6507969037 Enrollment ID: I20070321000250 |
| Provider Name | Cortney Marisa Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750308532 PECOS PAC ID: 8921102807 Enrollment ID: I20070402000793 |
| Provider Name | Sharon M Boivin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083647689 PECOS PAC ID: 9436254083 Enrollment ID: I20070410000655 |
| Provider Name | Raphael Adam Morris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801811104 PECOS PAC ID: 0345348835 Enrollment ID: I20070606000764 |
| Provider Name | Veronica Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467674176 PECOS PAC ID: 0840399192 Enrollment ID: I20070627000285 |
| Provider Name | Gloria M Valenzuela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679653380 PECOS PAC ID: 0143320200 Enrollment ID: I20070703000332 |
| Provider Name | Fee Sean Chin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679510465 PECOS PAC ID: 8022118017 Enrollment ID: I20070703000772 |
| Provider Name | Josefa B Licas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083650535 PECOS PAC ID: 8628178555 Enrollment ID: I20070706000604 |
| Provider Name | Myel Joy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396768271 PECOS PAC ID: 3274633888 Enrollment ID: I20070711001014 |
| Provider Name | Arthur A Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811928179 PECOS PAC ID: 2769583186 Enrollment ID: I20070728000161 |
| Provider Name | Alma Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427247295 PECOS PAC ID: 8022107069 Enrollment ID: I20071128000879 |
| Provider Name | John E Bradford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083677561 PECOS PAC ID: 5395824973 Enrollment ID: I20080507000478 |
| Provider Name | Marita G Dailo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326053174 PECOS PAC ID: 7719055953 Enrollment ID: I20081001000466 |
| Provider Name | Patricia Faye Wesley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043381023 PECOS PAC ID: 2860554508 Enrollment ID: I20081215000496 |
| Provider Name | Muralikrishnan Parthasarathy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952569063 PECOS PAC ID: 0547325250 Enrollment ID: I20090212000493 |
| Provider Name | Rosa Cortizo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952316648 PECOS PAC ID: 0143386896 Enrollment ID: I20090304000251 |
| Provider Name | Pei-chen E Wu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699943142 PECOS PAC ID: 5294881496 Enrollment ID: I20090912000156 |
| Provider Name | Margaret Ruth Copi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639212616 PECOS PAC ID: 5597802710 Enrollment ID: I20091021000156 |
| Provider Name | Dale Anne Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477714095 PECOS PAC ID: 5395882088 Enrollment ID: I20091029000211 |
| Provider Name | Louella Ladia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881629814 PECOS PAC ID: 8527108091 Enrollment ID: I20091214000318 |
| Provider Name | Michael J Chindamo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245556000 PECOS PAC ID: 3375674716 Enrollment ID: I20100628001064 |
| Provider Name | Rosben L Gutierrez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538225735 PECOS PAC ID: 7416902440 Enrollment ID: I20110204000963 |
| Provider Name | Esther B Crater |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588814974 PECOS PAC ID: 5890976708 Enrollment ID: I20110225000412 |
| Provider Name | Valerie Jean Christian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245533462 PECOS PAC ID: 1355523994 Enrollment ID: I20110303000367 |
| Provider Name | Jennifer L Koch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649501289 PECOS PAC ID: 3072795640 Enrollment ID: I20110303000768 |
| Provider Name | Morgan Cirket |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447373527 PECOS PAC ID: 8628250446 Enrollment ID: I20110315000385 |
| Provider Name | Anne C Watson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639214505 PECOS PAC ID: 2264619527 Enrollment ID: I20110614000432 |
| Provider Name | Maria Emma Rosa Castro Lacouture |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043469687 PECOS PAC ID: 8628256534 Enrollment ID: I20110623000717 |
| Provider Name | Manoochehr Khatami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619985868 PECOS PAC ID: 0244401370 Enrollment ID: I20110922000118 |
| Provider Name | Debra R Berl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821377433 PECOS PAC ID: 1052582731 Enrollment ID: I20110929000501 |
| Provider Name | Melissa Joy Attia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336266816 PECOS PAC ID: 3971754102 Enrollment ID: I20121115000201 |
| Provider Name | Matthew Foster Geromi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831450139 PECOS PAC ID: 9234370453 Enrollment ID: I20130730000532 |
| Provider Name | Cynthia L Angell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699969766 PECOS PAC ID: 6204061963 Enrollment ID: I20131105000797 |
| Provider Name | Joy D Kennedy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972707230 PECOS PAC ID: 8325217250 Enrollment ID: I20131211000803 |
| Provider Name | Megan C Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083758601 PECOS PAC ID: 9032347729 Enrollment ID: I20131231000813 |
| Provider Name | Chantal Maria Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396032975 PECOS PAC ID: 9830329069 Enrollment ID: I20140403001259 |
| Provider Name | Caroline Morin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386056240 PECOS PAC ID: 4880811751 Enrollment ID: I20140818000544 |
| Provider Name | Bridget Kathleen Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053691790 PECOS PAC ID: 4082832753 Enrollment ID: I20140822000761 |
| Provider Name | Sandra M Vought |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619000320 PECOS PAC ID: 2961622527 Enrollment ID: I20141002000000 |
| Provider Name | Jessica Rose Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851782718 PECOS PAC ID: 8921301466 Enrollment ID: I20160118000042 |
| Provider Name | Cheryl A Pfent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518003250 PECOS PAC ID: 4880998400 Enrollment ID: I20160202001586 |
| Provider Name | Dmitry Primak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609860733 PECOS PAC ID: 6204951437 Enrollment ID: I20160729001088 |
| Provider Name | Eric S Grady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659824399 PECOS PAC ID: 4587952726 Enrollment ID: I20161004001349 |
| Provider Name | Carmen Gabriela Liera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275895443 PECOS PAC ID: 2365730504 Enrollment ID: I20161004001453 |
| Provider Name | Jeremy Michael Ernst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821357161 PECOS PAC ID: 9032487236 Enrollment ID: I20170612002265 |
| Provider Name | Cristian Penciu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538329693 PECOS PAC ID: 0244485506 Enrollment ID: I20170920004199 |
| Provider Name | Holly Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407147390 PECOS PAC ID: 6709151772 Enrollment ID: I20171002003115 |
| Provider Name | Belinda Radovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124543061 PECOS PAC ID: 7214202654 Enrollment ID: I20171010003715 |
| Provider Name | Jamie E Picker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427185313 PECOS PAC ID: 6901166198 Enrollment ID: I20180208000734 |
| Provider Name | Angela Rowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194913996 PECOS PAC ID: 0648534917 Enrollment ID: I20180514002724 |
| Provider Name | Sarah Jacobs-paul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598047086 PECOS PAC ID: 0648528885 Enrollment ID: I20180806000829 |
| Provider Name | Yana Drukin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407331739 PECOS PAC ID: 2062766306 Enrollment ID: I20181126002079 |
| Provider Name | Tara C Mauro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962508903 PECOS PAC ID: 5193950384 Enrollment ID: I20190506000480 |
| Provider Name | Dusti Dawn Romans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306209523 PECOS PAC ID: 2264765148 Enrollment ID: I20190607001300 |
| Provider Name | Susan Kam Mah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710117189 PECOS PAC ID: 5991038838 Enrollment ID: I20190610001305 |
| Provider Name | Maisha Michelle Correia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831417757 PECOS PAC ID: 3577877547 Enrollment ID: I20190807001648 |
| Provider Name | Michelle Pappalardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780243907 PECOS PAC ID: 6406185099 Enrollment ID: I20190906002040 |
| Provider Name | Caroline G Cretti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639433477 PECOS PAC ID: 2961733845 Enrollment ID: I20191007002940 |
| Provider Name | Matthew M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825696 PECOS PAC ID: 4082047170 Enrollment ID: I20191203002525 |
| Provider Name | Cori Hanagami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598167967 PECOS PAC ID: 7416382783 Enrollment ID: I20200114002228 |
| Provider Name | Pamela Sachs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801981659 PECOS PAC ID: 6002241833 Enrollment ID: I20200123002961 |
| Provider Name | Jillian Starkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497236400 PECOS PAC ID: 8729417159 Enrollment ID: I20200406000907 |
| Provider Name | Laura J Steder-myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245776186 PECOS PAC ID: 8022448422 Enrollment ID: I20200427002307 |
| Provider Name | Caleb J Bragg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710336565 PECOS PAC ID: 0648563882 Enrollment ID: I20200505002186 |
| Provider Name | Elizabeth Duvall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093948119 PECOS PAC ID: 9234553918 Enrollment ID: I20200728002464 |
| Provider Name | Sandra K Cox |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730135971 PECOS PAC ID: 2163489246 Enrollment ID: I20201022004257 |
| Provider Name | Emilia Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205345733 PECOS PAC ID: 1254744642 Enrollment ID: I20201231001829 |
| Provider Name | Folashade Jayeoba-sampay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871192492 PECOS PAC ID: 1759795305 Enrollment ID: I20210122001388 |
| Provider Name | Suzanne M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245733450 PECOS PAC ID: 1850705922 Enrollment ID: I20210201001991 |
| Provider Name | Elliott Alcala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295241438 PECOS PAC ID: 2961811922 Enrollment ID: I20210504002931 |
| Provider Name | Cindy Ann Bolter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245459544 PECOS PAC ID: 7618376526 Enrollment ID: I20210526001589 |
| Provider Name | John Earl Xiong-chapman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467797431 PECOS PAC ID: 8426450131 Enrollment ID: I20210716001054 |
| Provider Name | Varun Mohan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952756397 PECOS PAC ID: 0345587861 Enrollment ID: I20210816002744 |
| Provider Name | Maria G Ruelas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346505906 PECOS PAC ID: 1557769619 Enrollment ID: I20211005001057 |
| Provider Name | Efren Francisco Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578962460 PECOS PAC ID: 9931507688 Enrollment ID: I20211011000308 |
| Provider Name | Robyn D Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174962930 PECOS PAC ID: 0143618322 Enrollment ID: I20211020000914 |
| Provider Name | Cassie C Deacon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720452998 PECOS PAC ID: 0244629608 Enrollment ID: I20211105001964 |
| Provider Name | Sharlene Famisan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245571314 PECOS PAC ID: 7214328392 Enrollment ID: I20211228001153 |
| Provider Name | Jinghan Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245841774 PECOS PAC ID: 5193133213 Enrollment ID: I20220127001707 |
| Provider Name | Ronit Yael Lyon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689056293 PECOS PAC ID: 0840602421 Enrollment ID: I20220217002081 |
| Provider Name | Elvira C Pan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821296658 PECOS PAC ID: 5294128187 Enrollment ID: I20220217002141 |
| Provider Name | Mina L Sardashti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467985499 PECOS PAC ID: 1456622646 Enrollment ID: I20220223001281 |
| Provider Name | Joana Ruby Callanta Bueno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578057576 PECOS PAC ID: 0446655393 Enrollment ID: I20220325000871 |
| Provider Name | Tammy Nicole Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568950624 PECOS PAC ID: 7618363144 Enrollment ID: I20220408000372 |
| Provider Name | Philippe T Levy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801210919 PECOS PAC ID: 2769743038 Enrollment ID: I20220413002129 |
| Provider Name | Emily Suzanne Econie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295327112 PECOS PAC ID: 5294122743 Enrollment ID: I20220502000310 |
| Provider Name | Nicolas Canon Salazar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306045281 PECOS PAC ID: 1052798121 Enrollment ID: I20220510002200 |
| Provider Name | Moremi Abeni Gravesandy Vassall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407350663 PECOS PAC ID: 2264785351 Enrollment ID: I20220829002596 |
| Provider Name | Labiba Anis Radwan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932256351 PECOS PAC ID: 5294968418 Enrollment ID: I20230213000954 |
| Provider Name | Jessica Wynn Wilson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699418285 PECOS PAC ID: 5799137691 Enrollment ID: I20240116003766 |
| Provider Name | Lubna Bashir Waraich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609458140 PECOS PAC ID: 2062864218 Enrollment ID: I20240123004362 |
| Provider Name | Melanie Joy Cain |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1578757621 PECOS PAC ID: 4981736170 Enrollment ID: I20240327003224 |
| Provider Name | Claudio Marcelo Demb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730174921 PECOS PAC ID: 3072544469 Enrollment ID: I20240329002300 |
| Provider Name | Emily Naughton Lindley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467509265 PECOS PAC ID: 9335589365 Enrollment ID: I20240424002872 |
| Provider Name | Deborah Sue Duell-stephens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609166750 PECOS PAC ID: 0547600595 Enrollment ID: I20240424003678 |
| Provider Name | Marla Elizabeth Carbonell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962824136 PECOS PAC ID: 9032559992 Enrollment ID: I20240425003827 |
| Provider Name | Amber Marie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649787284 PECOS PAC ID: 8921448705 Enrollment ID: I20240426000969 |
| Provider Name | Theresa Diem-hang Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144576414 PECOS PAC ID: 7214253962 Enrollment ID: I20240426001201 |
| Provider Name | Adrienne Michelle Bruce |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366794646 PECOS PAC ID: 3779923578 Enrollment ID: I20240426001782 |
| Provider Name | Helena Dano Dow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992807168 PECOS PAC ID: 4082054812 Enrollment ID: I20240426002765 |
| Provider Name | Eric Michael David |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053822577 PECOS PAC ID: 5395185136 Enrollment ID: I20240426003021 |
| Provider Name | Janetta Sue Stephen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932175312 PECOS PAC ID: 0143660837 Enrollment ID: I20240429001294 |
| Provider Name | Michele E Bourbonnais |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699148650 PECOS PAC ID: 1456791169 Enrollment ID: I20240429002031 |
| Provider Name | Cody L Gustaveson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790303451 PECOS PAC ID: 2961842695 Enrollment ID: I20240429002681 |
| Provider Name | Naomi R Midura |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699199893 PECOS PAC ID: 2264872837 Enrollment ID: I20240430000814 |
| Provider Name | Kyle M Royce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144994310 PECOS PAC ID: 0345680914 Enrollment ID: I20240430000832 |
| Provider Name | Karen Stein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649338401 PECOS PAC ID: 6406296094 Enrollment ID: I20240430001778 |
| Provider Name | Reina Lee Foxworthy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518366699 PECOS PAC ID: 4284074816 Enrollment ID: I20240430003340 |
| Provider Name | Brianna Marie Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861084097 PECOS PAC ID: 0143660688 Enrollment ID: I20240430003956 |
| Provider Name | Juan Carlos Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619446796 PECOS PAC ID: 8527408004 Enrollment ID: I20240501001002 |
| Provider Name | Brittany Batton Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417515347 PECOS PAC ID: 3476888470 Enrollment ID: I20240501001130 |
| Provider Name | William Merrit Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083893143 PECOS PAC ID: 3678913183 Enrollment ID: I20240501002196 |
| Provider Name | Deborah Kimberly Bryk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306213509 PECOS PAC ID: 5991145625 Enrollment ID: I20240501002980 |
| Provider Name | Kathy Eliassian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497883813 PECOS PAC ID: 0941640478 Enrollment ID: I20240501002995 |
| Provider Name | Emma Jane Tecca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770299042 PECOS PAC ID: 2961842208 Enrollment ID: I20240502003514 |
| Provider Name | Irma Cecelia Espiritu |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629100359 PECOS PAC ID: 5092155374 Enrollment ID: I20240503000826 |
| Provider Name | Kirsten Marie Molina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497971253 PECOS PAC ID: 2769822063 Enrollment ID: I20240503001384 |
| Provider Name | Christian Bjerre Real |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871988584 PECOS PAC ID: 3678913894 Enrollment ID: I20240503002631 |
| Provider Name | Marissa Emrich Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700553260 PECOS PAC ID: 3779923909 Enrollment ID: I20240503003018 |
| Provider Name | Kristin Duering Mcdonald |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760611859 PECOS PAC ID: 4183064330 Enrollment ID: I20240503003480 |
| Provider Name | Ernesto Cruz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013522390 PECOS PAC ID: 3971943077 Enrollment ID: I20240506001459 |
| Provider Name | Diane Katherine Dameron |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710294707 PECOS PAC ID: 5991145013 Enrollment ID: I20240506003360 |
| Provider Name | David Alin Kohanyi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730459546 PECOS PAC ID: 6709226822 Enrollment ID: I20240506003398 |
| Provider Name | Alex Aguinaldo Recepcion |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083126130 PECOS PAC ID: 4688014715 Enrollment ID: I20240506003934 |
| Provider Name | Megan Lee Urquidi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821512435 PECOS PAC ID: 6103266242 Enrollment ID: I20240506004058 |
| Provider Name | Lea M Basler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528577186 PECOS PAC ID: 3971943010 Enrollment ID: I20240506004265 |
| Provider Name | Romelia Alicia Gomez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750754081 PECOS PAC ID: 6901246099 Enrollment ID: I20240507001576 |
| Provider Name | Amy Christina Horne |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326347642 PECOS PAC ID: 1153762257 Enrollment ID: I20240507002117 |
| Provider Name | Gilda Gabriela Ruelas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912039124 PECOS PAC ID: 9032550132 Enrollment ID: I20240507002208 |
| Provider Name | Karyn Marie Donado |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669582615 PECOS PAC ID: 8628419744 Enrollment ID: I20240507002872 |
| Provider Name | Brittany Paige Campbell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922768233 PECOS PAC ID: 3274974316 Enrollment ID: I20240507003698 |
| Provider Name | Josephine Pui Yi Chu |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689018111 PECOS PAC ID: 1254772254 Enrollment ID: I20240508001427 |
| Provider Name | Melissa Zartar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912447301 PECOS PAC ID: 0143661157 Enrollment ID: I20240508002015 |
| Provider Name | Elizabeth Alvarez Nyante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548419062 PECOS PAC ID: 5698968667 Enrollment ID: I20240509000644 |
| Provider Name | Jamie Lianne Freier |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942641634 PECOS PAC ID: 7214378504 Enrollment ID: I20240517001230 |
| Provider Name | Susan Rae Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336115492 PECOS PAC ID: 3779924972 Enrollment ID: I20240517002089 |
| Provider Name | Gloria Gay Wetterstrom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457689978 PECOS PAC ID: 9436590676 Enrollment ID: I20240517003751 |
| Provider Name | Desiree B Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669973129 PECOS PAC ID: 4981045127 Enrollment ID: I20240517003786 |
| Provider Name | Melanie Dawn Mckinney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124210943 PECOS PAC ID: 5991146151 Enrollment ID: I20240518000670 |
| Provider Name | Whitney E Dominguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841846730 PECOS PAC ID: 4981045416 Enrollment ID: I20240520003389 |
| Provider Name | Matthew Thomas Swan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1366973067 PECOS PAC ID: 8527400787 Enrollment ID: I20240521000359 |
| Provider Name | Charles Ukaoma |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598741233 PECOS PAC ID: 3072971613 Enrollment ID: I20240521003176 |
| Provider Name | April Angela Hutchinson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679137004 PECOS PAC ID: 1052753191 Enrollment ID: I20240521003845 |
| Provider Name | Brittany Beswick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689368755 PECOS PAC ID: 0547602609 Enrollment ID: I20240522000008 |
| Provider Name | Boikanyo P Tlhong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790148526 PECOS PAC ID: 6901248848 Enrollment ID: I20240523003311 |
| Provider Name | April M Moyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003339300 PECOS PAC ID: 6608218383 Enrollment ID: I20240527000417 |
| Provider Name | Kimberly Ann Roelands |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790451110 PECOS PAC ID: 3870935554 Enrollment ID: I20240527000443 |
| Provider Name | Danielle Marie Bell-dunnam |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194491654 PECOS PAC ID: 5496197105 Enrollment ID: I20240528000633 |
| Provider Name | Elaine Renee Guerrero Clar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700116514 PECOS PAC ID: 3375985088 Enrollment ID: I20240528000738 |
| Provider Name | Christopher Mckinney Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790153807 PECOS PAC ID: 9335581040 Enrollment ID: I20240528000907 |
| Provider Name | Sylvana A Elali |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114379922 PECOS PAC ID: 1759723398 Enrollment ID: I20240528002093 |
| Provider Name | Mandy Kay Sun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205403516 PECOS PAC ID: 3577905124 Enrollment ID: I20240528002521 |
| Provider Name | Ronald W. Pilato |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386887057 PECOS PAC ID: 7618319294 Enrollment ID: I20240528003647 |
| Provider Name | Sandra S Zuazo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861979601 PECOS PAC ID: 6901248459 Enrollment ID: I20240529002433 |
| Provider Name | Brittany Marie Ramirez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023500279 PECOS PAC ID: 1052753506 Enrollment ID: I20240529002544 |
| Provider Name | Heba Hilou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962254391 PECOS PAC ID: 3779925250 Enrollment ID: I20240529003335 |
| Provider Name | Ileane G Lew |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386946093 PECOS PAC ID: 2365884855 Enrollment ID: I20240529003888 |
| Provider Name | Ruthann London |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073708079 PECOS PAC ID: 4880036102 Enrollment ID: I20240531000829 |
| Provider Name | Iris V Hueso |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518595008 PECOS PAC ID: 7315389640 Enrollment ID: I20240531001189 |
| Provider Name | Kenya Lashey Taylor |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063557049 PECOS PAC ID: 1557703808 Enrollment ID: I20240531001767 |
| Provider Name | Berkley Paige Cobb |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588903561 PECOS PAC ID: 7416399779 Enrollment ID: I20240531002362 |
| Provider Name | Dora Gilbert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558492504 PECOS PAC ID: 0345782678 Enrollment ID: I20240603000651 |
| Provider Name | Richard Paul Benfante |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114092384 PECOS PAC ID: 9931641271 Enrollment ID: I20240603000843 |
| Provider Name | Lori Ellen Baber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184242158 PECOS PAC ID: 5092257345 Enrollment ID: I20240603001431 |
| Provider Name | Diane E Carota |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427261981 PECOS PAC ID: 0143762492 Enrollment ID: I20240603001540 |
| Provider Name | Scott Alexander Casadona |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346795606 PECOS PAC ID: 1850833112 Enrollment ID: I20240603001662 |
| Provider Name | Rickey Joe Maxwell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245368232 PECOS PAC ID: 0547702813 Enrollment ID: I20240603002497 |
| Provider Name | Mary-louise H Henson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184700726 PECOS PAC ID: 1658813936 Enrollment ID: I20240603002775 |
| Provider Name | Christopher T Schell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609563998 PECOS PAC ID: 5193267474 Enrollment ID: I20240603002827 |
| Provider Name | Brenda Lissett Duarte |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164784906 PECOS PAC ID: 1951843135 Enrollment ID: I20240603003047 |
| Provider Name | Vivian Stein |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669746947 PECOS PAC ID: 8426590621 Enrollment ID: I20240603003710 |
| Provider Name | Becky Lynn Grenfell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780994251 PECOS PAC ID: 8628510880 Enrollment ID: I20240604001861 |
| Provider Name | Dexter Chia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194335968 PECOS PAC ID: 0446792618 Enrollment ID: I20240604002291 |
| Provider Name | Katlin Nicole Boas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235992868 PECOS PAC ID: 9638611692 Enrollment ID: I20240605001787 |
| Provider Name | Melanie Jane Nicholls |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922767581 PECOS PAC ID: 7618419664 Enrollment ID: I20240606000801 |
| Provider Name | Vitus Chibuike Onusuru |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245929686 PECOS PAC ID: 1850833716 Enrollment ID: I20240606001748 |
| Provider Name | Brandon J Greenfield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588050199 PECOS PAC ID: 8224493416 Enrollment ID: I20240607001174 |
| Provider Name | Regina Laura Isaias |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053549543 PECOS PAC ID: 8426590233 Enrollment ID: I20240607003273 |
| Provider Name | Damian Saul Sandoval |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255706263 PECOS PAC ID: 5193267862 Enrollment ID: I20240610001487 |
| Provider Name | Jonathan R Rackley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588324214 PECOS PAC ID: 1052853645 Enrollment ID: I20240611002157 |
| Provider Name | Karissa Nichole Chisum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558042101 PECOS PAC ID: 1456893064 Enrollment ID: I20240611003143 |
| Provider Name | Vivian Wing-yiu Luong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760255061 PECOS PAC ID: 7517409006 Enrollment ID: I20240612001748 |
| Provider Name | Adrianne Ruth Averbukh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992219695 PECOS PAC ID: 6901349307 Enrollment ID: I20240613001727 |
| Provider Name | Michelle Marie Paulsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801281936 PECOS PAC ID: 0143763599 Enrollment ID: I20240613004035 |
| Provider Name | Christine J Choi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891981205 PECOS PAC ID: 7214470574 Enrollment ID: I20240614003854 |
Foster Care Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 3rd St, Suite 400, San Francisco, CA 94124 Phone: 415-907-3875 Fax: 415-970-3875 | |
Crisis Response Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 3rd St, Building B, Suite 400, San Francisco, CA 94124 Phone: 415-970-3800 Fax: 415-970-3855 | |
Asian American Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Golden Gate Ave, San Francisco, CA 94102 Phone: 415-776-1001 Fax: 415-776-1066 | |
A Woman's Place Drop-in Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 13th St, San Francisco, CA 94103 Phone: 415-420-1420 | |
Piatigorsky Psychology Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 576 Sanchez St, San Francisco, CA 94114 Phone: 415-713-0807 | |
Contra Costa County Behavioral Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Allston Way, San Francisco, CA 94127 Phone: 415-866-5231 | |
Medens Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 50 California St Ste 1500, San Francisco, CA 94111 Phone: 415-854-5400 Fax: 844-654-2900 |