| Segal Telepsychiatry Network | |
|
655 Redwood Hwy Frontage Rd Suite 240 Mill Valley CA 94941-3034 | |
| (866) 247-4292 | |
| (866) 247-4293 |
| Full Name | Segal Telepsychiatry Network |
|---|---|
| Speciality | Psychoanalyst |
| Location | 655 Redwood Hwy Frontage Rd, Mill Valley, California |
| Authorized Official Name and Position | Olga Segal (PRESIDENT) |
| Authorized Official Contact | 7072057566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Segal Telepsychiatry Network 655 Redwood Hwy Frontage Rd Suite 240 Mill Valley CA 94941-3034 Ph: (866) 247-4292 | Segal Telepsychiatry Network 655 Redwood Hwy Frontage Rd Suite 240 Mill Valley CA 94941-3034 Ph: (866) 247-4292 |
| NPI Number | 1245529296 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 03/30/2011 |
| Medicare PECOS PAC ID | 1951564111 |
|---|---|
| Medicare Enrollment ID | O20120525000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245529296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | A85774 (California) | Primary |
| Provider Name | Lisa A Youngblood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801843941 PECOS PAC ID: 1658384680 Enrollment ID: I20060717000169 |
| Provider Name | Olga Segal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821013764 PECOS PAC ID: 3375553910 Enrollment ID: I20070108000532 |
| Provider Name | Haley A Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306236799 PECOS PAC ID: 1759636459 Enrollment ID: I20180621000261 |
| Provider Name | Jamie Lee Plaxco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295257269 PECOS PAC ID: 7214268465 Enrollment ID: I20191018002290 |
| Provider Name | Kevin Michael Knack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376852772 PECOS PAC ID: 0345487013 Enrollment ID: I20210107001448 |
| Provider Name | Karen C Dostaler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942778626 PECOS PAC ID: 3476966193 Enrollment ID: I20210119001231 |
| Provider Name | Sarah Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689126450 PECOS PAC ID: 8729403902 Enrollment ID: I20220616000405 |
| Provider Name | Josephine Harts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447842737 PECOS PAC ID: 9234512856 Enrollment ID: I20220815003098 |
| Provider Name | Paul Nathaneal Ellingsen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801966825 PECOS PAC ID: 2769896091 Enrollment ID: I20240516000048 |
Yael Melamed, A Marriage Family Therapy Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Millwood St, Mill Valley, CA 94941 Phone: 415-890-3034 | |
Teen Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Miller Ave, Suite E, Mill Valley, CA 94941 Phone: 415-360-5445 Fax: 815-301-9737 | |
Benjaminrussack Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Shelley Dr Apt 6, Mill Valley, CA 94941 Phone: 415-497-1908 | |
Marilyn J. Krieger, Ph.d. Psychologist Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Overhill Rd, Mill Valley, CA 94941 Phone: 415-346-5937 | |
P.l.a.y. (psychology, Learning & You) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 N Knoll Rd, Mill Valley, CA 94941 Phone: 415-902-3424 | |
Teen Solutions, Passion & Purpose Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Miller Ave, Suite E, Mill Valley, CA 94941 Phone: 415-760-8541 Fax: 815-301-9737 | |
Barbara Adamich, Licensed Clinical Social Worker, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Knoll Ln Ste D, Mill Valley, CA 94941 Phone: 415-673-3566 |