| Psychiatry Professional Services | |
|
871 Enborg Ct Don Lowe Pavillion San Jose CA 95128-2645 | |
| (408) 885-6100 | |
| Not Available |
| Full Name | Psychiatry Professional Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 871 Enborg Ct, San Jose, California |
| Authorized Official Name and Position | Jeffrey L Arnold (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4088854001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Professional Services Po Box 398407 Scvhhs Patient Business Services San Francisco CA 94139-8407 Ph: (408) 885-7354 | Psychiatry Professional Services 871 Enborg Ct Don Lowe Pavillion San Jose CA 95128-2645 Ph: (408) 885-6100 |
| NPI Number | 1932313582 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 09/16/2016 |
| Medicare PECOS PAC ID | 1254244973 |
|---|---|
| Medicare Enrollment ID | O20040413001159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932313582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 070000085 (California) | Primary |
| Provider Name | Cheryl N Mims |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710918677 PECOS PAC ID: 8628979689 Enrollment ID: I20040114000404 |
| Provider Name | Anjali Rajiv Deshmukh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770657470 PECOS PAC ID: 2163411448 Enrollment ID: I20040511001017 |
| Provider Name | David Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649304502 PECOS PAC ID: 9436136736 Enrollment ID: I20040706000307 |
| Provider Name | Terry Osback |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356446827 PECOS PAC ID: 6800789991 Enrollment ID: I20040809001255 |
| Provider Name | Catherine M Mallouh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487720470 PECOS PAC ID: 2769454701 Enrollment ID: I20040810000689 |
| Provider Name | Danh Huynh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427110709 PECOS PAC ID: 3870565633 Enrollment ID: I20040811000935 |
| Provider Name | Simran Bindu Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760587836 PECOS PAC ID: 4688634611 Enrollment ID: I20041014000412 |
| Provider Name | Gregory Braverman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790998979 PECOS PAC ID: 1557325404 Enrollment ID: I20050908000993 |
| Provider Name | Ying Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093803850 PECOS PAC ID: 8022039932 Enrollment ID: I20051207000605 |
| Provider Name | Emily K Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336273291 PECOS PAC ID: 4789607110 Enrollment ID: I20060111000593 |
| Provider Name | Alissa J Kraisosky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134207285 PECOS PAC ID: 7315957305 Enrollment ID: I20060504000883 |
| Provider Name | Shirin Hoodei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184714610 PECOS PAC ID: 7012092091 Enrollment ID: I20080314000525 |
| Provider Name | Wendy C Liang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255465118 PECOS PAC ID: 3375697378 Enrollment ID: I20090810000542 |
| Provider Name | Kulsoom A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396884151 PECOS PAC ID: 2860461985 Enrollment ID: I20090819000243 |
| Provider Name | Lance P Cowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780880369 PECOS PAC ID: 9133261910 Enrollment ID: I20100115000656 |
| Provider Name | Jan B Weber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780765255 PECOS PAC ID: 4587707880 Enrollment ID: I20100209000536 |
| Provider Name | Farhan Matin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902974785 PECOS PAC ID: 4789714361 Enrollment ID: I20100608000435 |
| Provider Name | Amy Ai-vy Khong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093978058 PECOS PAC ID: 2961526694 Enrollment ID: I20100901000269 |
| Provider Name | Jennifer Thu Minh Le |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336267921 PECOS PAC ID: 5294928842 Enrollment ID: I20101015000263 |
| Provider Name | Barbara Y Weissman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619194743 PECOS PAC ID: 9537340518 Enrollment ID: I20110223001137 |
| Provider Name | Ashley H Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619941721 PECOS PAC ID: 9739364852 Enrollment ID: I20110504000531 |
| Provider Name | An D Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285882258 PECOS PAC ID: 5991973588 Enrollment ID: I20110726000846 |
| Provider Name | Vanitha A Sankaran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720137391 PECOS PAC ID: 7618149105 Enrollment ID: I20111005000273 |
| Provider Name | Sabrina S Sandoval |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538370721 PECOS PAC ID: 7517139355 Enrollment ID: I20111020000366 |
| Provider Name | Anthony Cozzolino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437355948 PECOS PAC ID: 8820249469 Enrollment ID: I20121108000250 |
| Provider Name | Hoa Y Ly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548303217 PECOS PAC ID: 1850545468 Enrollment ID: I20130207000263 |
| Provider Name | Helen I Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053342675 PECOS PAC ID: 0244224939 Enrollment ID: I20130409000298 |
| Provider Name | Jacqueline C Alba-nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144545302 PECOS PAC ID: 6204062490 Enrollment ID: I20131118000904 |
| Provider Name | Karla M Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619116332 PECOS PAC ID: 8123256153 Enrollment ID: I20140120000370 |
| Provider Name | Jennifer M Foran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639304199 PECOS PAC ID: 9032248190 Enrollment ID: I20150119000659 |
| Provider Name | Shaista Y Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770626327 PECOS PAC ID: 7911147269 Enrollment ID: I20150611003453 |
| Provider Name | Mark M Held |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437547940 PECOS PAC ID: 7517278997 Enrollment ID: I20150625002740 |
| Provider Name | Hy Diep |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053609834 PECOS PAC ID: 5395057772 Enrollment ID: I20150629001668 |
| Provider Name | Joselita U Chua |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225175193 PECOS PAC ID: 8820057664 Enrollment ID: I20150716000402 |
| Provider Name | Kenneth C Wallis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649243692 PECOS PAC ID: 3072769850 Enrollment ID: I20170828001513 |
| Provider Name | Andrew Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689732687 PECOS PAC ID: 9436314317 Enrollment ID: I20180312001932 |
| Provider Name | Jennifer A. Papac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548696420 PECOS PAC ID: 2365783800 Enrollment ID: I20190409003446 |
| Provider Name | Nishina Ann Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174933204 PECOS PAC ID: 2668714916 Enrollment ID: I20190507000827 |
| Provider Name | Sukhdeep Kaur Ahuja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407090566 PECOS PAC ID: 9931394939 Enrollment ID: I20190507001719 |
| Provider Name | Tiffany B Ho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598895559 PECOS PAC ID: 1759612880 Enrollment ID: I20191003002600 |
| Provider Name | Cynthia P Vivar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386849891 PECOS PAC ID: 9032547542 Enrollment ID: I20200402000868 |
| Provider Name | Doris Sarni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437319381 PECOS PAC ID: 5193881167 Enrollment ID: I20200807000937 |
| Provider Name | Flor Maria Cuadra Barreto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720376486 PECOS PAC ID: 3072939057 Enrollment ID: I20200820003686 |
| Provider Name | Abishek P Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952718652 PECOS PAC ID: 6103107289 Enrollment ID: I20200821002188 |
| Provider Name | Mildred Johanna Blandino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699916296 PECOS PAC ID: 7214348440 Enrollment ID: I20201119001495 |
| Provider Name | Vicki Mariela Landaverde Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326593765 PECOS PAC ID: 4587060439 Enrollment ID: I20210901002132 |
| Provider Name | Silvana M Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346587169 PECOS PAC ID: 8426425729 Enrollment ID: I20221028002187 |
| Provider Name | Lee Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710646153 PECOS PAC ID: 5193170892 Enrollment ID: I20231016003043 |
N/a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2625 Zanker Rd, 101, San Jose, CA 95134 Phone: 408-325-5230 Fax: 408-944-0468 | |
Lauren Capano Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3970 The Woods Dr, Apt. 524, San Jose, CA 95136 Phone: 646-761-8982 | |
Alum Rock Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 Mahoney Dr, San Jose, CA 95127 Phone: 408-240-0070 | |
Abode Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Southwest Expy, San Jose, CA 95126 Phone: 510-270-1150 | |
Pacific Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Wabash Ave, San Jose, CA 95128 Phone: 408-295-1814 | |
Sondermind Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6203 San Ignacio Ave Ste 110, San Jose, CA 95119 Phone: 844-843-7279 | |
Radical Roots Psychotherapy, A Licensed Clinical Social Worker, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1875 Mac Duee Ct., San Jose, CA 95121 Phone: 609-694-1872 |