| Seven Rays Psychology Corp | |
|
21838 Encina Rd Topanga CA 90290-3527 | |
| (310) 663-7163 | |
| Not Available |
| Full Name | Seven Rays Psychology Corp |
|---|---|
| Speciality | Psychologist |
| Location | 21838 Encina Rd, Topanga, California |
| Authorized Official Name and Position | John Thomas Pietrzak (CEO) |
| Authorized Official Contact | 3106637163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seven Rays Psychology Corp 21838 Encina Rd Topanga CA 90290-3527 Ph: (310) 663-7163 | Seven Rays Psychology Corp 21838 Encina Rd Topanga CA 90290-3527 Ph: (310) 663-7163 |
| NPI Number | 1780397927 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Medicare PECOS PAC ID | 5698149235 |
|---|---|
| Medicare Enrollment ID | O20230321002352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780397927 | NPI | - | NPPES |
| CB240514 | Medicaid | CA | |
| PSY27360 | Other | CA | STATE LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | John T Pietrzak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922480946 PECOS PAC ID: 2062728991 Enrollment ID: I20150908002375 |
| Provider Name | Melissa Marie Waybright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417027889 PECOS PAC ID: 5597164418 Enrollment ID: I20210526001756 |
Roland W. Jacobs, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Rosario Dr, Topanga, CA 90290 Phone: 505-770-7892 Fax: 505-776-3827 | |
Express Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21839 Saddle Peak Road, Topanga, CA 90290 Phone: 668-866-1466 | |
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