| Psynergy - Sacramento | |
|
4604a Roosevelt Ave Sacramento CA 95820-4520 | |
| (916) 457-3129 | |
| (916) 457-5634 |
| Full Name | Psynergy - Sacramento |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4604a Roosevelt Ave, Sacramento, California |
| Authorized Official Name and Position | Arturo Medrano Uribe (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4084658280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psynergy - Sacramento 18225 Hale Ave Morgan Hill CA 95037-3547 Ph: (408) 465-8280 | Psynergy - Sacramento 4604a Roosevelt Ave Sacramento CA 95820-4520 Ph: (916) 457-3129 |
| NPI Number | 1194132910 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194132910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS22640 (California) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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