- Medicare Mental Health Clinic in Anaheim, CA

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is a medicare enrolled mental health clinic (Counselor - Mental Health) in Anaheim, California. The current practice location for is 421 N Brookhurst St Ste 128, Anaheim, California. For appointments, you can reach them via phone at (714) 361-0898. The mailing address for is 6816 E. Katella Rd #1065, Cypress, California and phone number is (714) 831-0821.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1922785690. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (714) 361-0898.

Contact Information

421 N Brookhurst St Ste 128
Anaheim
CA 92801-5618
(714) 361-0898
(714) 276-2604

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityCounselor
Location421 N Brookhurst St Ste 128, Anaheim, California
Authorized Official Name and PositionMedard Sison (CEO)
Authorized Official Contact7143610898
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

6816 E. Katella Rd #1065
Cypress
CA 90630-5618

Ph: (714) 831-0821
421 N Brookhurst St Ste 128
Anaheim
CA 92801-5618

Ph: (714) 361-0898

NPI Details:

NPI Number1922785690
Provider Enumeration Date07/03/2023
Last Update Date04/02/2024
Certification Date03/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9335682541
Medicare Enrollment IDO20240617001244

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922785690NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary
103K00000XBehavior Analyst (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameMedard Sison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922507037
PECOS PAC ID: 8820352057
Enrollment ID: I20180515002925
Provider NameCarlos Barrios
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174643647
PECOS PAC ID: 8921188855
Enrollment ID: I20181220002882
Provider NameClint Nacar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609466259
PECOS PAC ID: 1153738232
Enrollment ID: I20210408000601
Provider NameBrittany N Cadiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790398295
PECOS PAC ID: 9931507894
Enrollment ID: I20211006002259
Provider NameKaren Rightler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437754652
PECOS PAC ID: 7517355654
Enrollment ID: I20211022001376
Provider NameDave P Ravi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043501364
PECOS PAC ID: 5890032601
Enrollment ID: I20211117001577
Provider NameElizabeth Henderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164774576
PECOS PAC ID: 3375934185
Enrollment ID: I20220104002646
Provider NameSima Aman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689396293
PECOS PAC ID: 0547639676
Enrollment ID: I20221213001864
Provider NameAnthony Bao Pham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629796438
PECOS PAC ID: 8426421280
Enrollment ID: I20230227002268
Provider NameMiguel Angel Castellanos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972218261
PECOS PAC ID: 0749654309
Enrollment ID: I20230322000195
Provider NamePaul Choi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093341414
PECOS PAC ID: 3274919527
Enrollment ID: I20230816004091
Provider NameCarly Marie Rorem
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1689197063
PECOS PAC ID: 6002352291
Enrollment ID: I20240724001548
Provider NameNalleli Isabel Garrido
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164001038
PECOS PAC ID: 6709322746
Enrollment ID: I20240725003023
Provider NameAlice Kisun Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770362998
PECOS PAC ID: 3476099326
Enrollment ID: I20240726002702
Provider NameTaryn Alexandra Joyce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235787235
PECOS PAC ID: 3173060597
Enrollment ID: I20240802003209
Provider NameCristian Cuevas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013796200
PECOS PAC ID: 5496292344
Enrollment ID: I20240808004072
Provider NameGriselda Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891377826
PECOS PAC ID: 6002354958
Enrollment ID: I20240809004023

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.