| Shasta County Mental Health | |
|
2640 Breslauer Way Redding CA 96001-4246 | |
| (530) 225-5200 | |
| (530) 225-5977 |
| Full Name | Shasta County Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2640 Breslauer Way, Redding, California |
| Authorized Official Name and Position | Miguel Rodriguez (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Contact | 5302255965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta County Mental Health Po Box 496048 Redding CA 96049-6048 Ph: (530) 225-5200 | Shasta County Mental Health 2640 Breslauer Way Redding CA 96001-4246 Ph: (530) 225-5200 |
| NPI Number | 1881692390 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 8820081581 |
|---|---|
| Medicare Enrollment ID | O20040407000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881692390 | NPI | - | NPPES |
| ZZZ85235Z | Other | CA | BLUE SHIELD CALIFORNIA |
| 4515 | Medicaid | CA | |
| 4579 | Medicaid | CA | |
| 4580 | Medicaid | CA | |
| 4581 | Medicaid | CA | |
| 4578 | Medicaid | CA |
| Provider Name | Sujatha Ramakrishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306908140 PECOS PAC ID: 1052383775 Enrollment ID: I20040811001329 |
| Provider Name | John M Mahoney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396889143 PECOS PAC ID: 5890917421 Enrollment ID: I20141113002067 |
| Provider Name | Meycho M Chao-lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669516563 PECOS PAC ID: 7517283518 Enrollment ID: I20150311000012 |
| Provider Name | Jonathan A Sy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629339148 PECOS PAC ID: 8820384282 Enrollment ID: I20170110001535 |
| Provider Name | Brandon Christopher Weinstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396380705 PECOS PAC ID: 2466886205 Enrollment ID: I20200102001328 |
| Provider Name | Asif A Majid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801274881 PECOS PAC ID: 3779911235 Enrollment ID: I20200316001113 |
| Provider Name | Nichole A Brandon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962743971 PECOS PAC ID: 7618379231 Enrollment ID: I20210706000779 |
| Provider Name | Ronna Crofoot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386079168 PECOS PAC ID: 2860881315 Enrollment ID: I20211123000363 |
| Provider Name | Laura E Stapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396757258 PECOS PAC ID: 8527440494 Enrollment ID: I20220809003010 |
| Provider Name | Miguel Arturo Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689077752 PECOS PAC ID: 3870976699 Enrollment ID: I20220811001895 |
| Provider Name | Deidra Jo Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326602889 PECOS PAC ID: 1759757388 Enrollment ID: I20221021001608 |
| Provider Name | Stellah Kulabako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770280646 PECOS PAC ID: 2961857289 Enrollment ID: I20231028000004 |
| Provider Name | Bethany Arthur |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518213628 PECOS PAC ID: 9436597457 Enrollment ID: I20240409003811 |
| Provider Name | Jocelyn N. Barron |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376864801 PECOS PAC ID: 2466890397 Enrollment ID: I20240410002986 |
| Provider Name | Darlyn Carnate |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760843288 PECOS PAC ID: 1557709490 Enrollment ID: I20240410003374 |
| Provider Name | Kimberly A. Mckinney Tighe |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255633624 PECOS PAC ID: 1052759990 Enrollment ID: I20240410003536 |
| Provider Name | Leah S. Moua |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356728489 PECOS PAC ID: 9032557988 Enrollment ID: I20240410003665 |
| Provider Name | Marcus P. Ohler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407396674 PECOS PAC ID: 9830537786 Enrollment ID: I20240410003739 |
| Provider Name | Margaret H. Poytress |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124320122 PECOS PAC ID: 1557709409 Enrollment ID: I20240410003796 |
| Provider Name | Genell L. Restivo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194747170 PECOS PAC ID: 8628416575 Enrollment ID: I20240410003855 |
| Provider Name | Kao C. Syvirathphan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1154465821 PECOS PAC ID: 7517305469 Enrollment ID: I20240410003904 |
| Provider Name | Monteca L. Zumalt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447411137 PECOS PAC ID: 3971941824 Enrollment ID: I20240410003929 |
| Provider Name | Victoria M Wuest |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1720340318 PECOS PAC ID: 1658710454 Enrollment ID: I20240412001845 |
| Provider Name | Stacey E Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194375618 PECOS PAC ID: 0840639464 Enrollment ID: I20240416001661 |
| Provider Name | Angel C Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093867616 PECOS PAC ID: 3678912094 Enrollment ID: I20240418001895 |
| Provider Name | Aleesha R.f. Edwards |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659421626 PECOS PAC ID: 2769821040 Enrollment ID: I20240419000103 |
| Provider Name | Adam S Hilton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063666550 PECOS PAC ID: 9638518772 Enrollment ID: I20240422002398 |
| Provider Name | Jill-armanda Ward |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346448990 PECOS PAC ID: 5991144032 Enrollment ID: I20240422002480 |
| Provider Name | Jon Vanfossan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811005432 PECOS PAC ID: 2466893979 Enrollment ID: I20240515002660 |
Redding Rehab Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3580 Santa Rosa Way, Redding, CA 96003 Phone: 310-343-8684 | |
Hhsa Children's Services, Mh, 1411 Yuba St Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Yuba St, Redding, CA 96001 Phone: 530-225-5200 | |
Native American Mental Health Services Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Washington Ave Ste 220, Redding, CA 96001 Phone: 530-722-4942 Fax: 530-262-6849 | |
Shasta County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620/1624 Market St, Redding, CA 96001 Phone: 530-245-6750 Fax: 530-225-5950 | |
Dunamis Center Incorporated Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1465 Victor Ave Ste B, Redding, CA 96003 Phone: 530-338-0087 Fax: 530-745-6053 | |
Happ E Life Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 Hilltop Dr Ste 102, Redding, CA 96002 Phone: 530-710-8551 | |
Shasta County Assisted Outpatient Treatment (aot) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Hilltop Dr, Suite 200 Rooms 1,2,3,4,5,6, Redding, CA 96003 Phone: 530-618-5630 Fax: 530-618-5635 |