| Sierra Psychological Associates, Inc. | |
|
69930 Highway 111 Ste 204a Rancho Mirage CA 92270-2853 | |
| (626) 966-5644 | |
| (760) 202-7599 |
| Full Name | Sierra Psychological Associates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 69930 Highway 111 Ste 204a, Rancho Mirage, California |
| Authorized Official Name and Position | Phoebe Cervantes (PRESIDENT) |
| Authorized Official Contact | 6269665644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Psychological Associates, Inc. 69930 Highway 111 Ste 204a Rancho Mirage CA 92270-2853 Ph: (626) 966-5644 | Sierra Psychological Associates, Inc. 69930 Highway 111 Ste 204a Rancho Mirage CA 92270-2853 Ph: (626) 966-5644 |
| NPI Number | 1700915410 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 03/12/2021 |
| Certification Date | 03/12/2021 |
| Medicare PECOS PAC ID | 0345465316 |
|---|---|
| Medicare Enrollment ID | O20140707001637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700915410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY9689 (California) | Primary |
| Provider Name | Phoebe K Cervantes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285726638 PECOS PAC ID: 9436383445 Enrollment ID: I20151026002581 |
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