| Starfish Mental Health | |
|
777 E Tahquitz Canyon Way Ste 200 Palm Springs CA 92262-6797 | |
| (760) 523-9000 | |
| (760) 904-4436 |
| Full Name | Starfish Mental Health |
|---|---|
| Speciality | Social Worker |
| Location | 777 E Tahquitz Canyon Way Ste 200, Palm Springs, California |
| Authorized Official Name and Position | Robert Basque (CEO) |
| Authorized Official Contact | 7605239000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starfish Mental Health 777 E Tahquitz Canyon Way Ste 200 Palm Springs CA 92262-6797 Ph: (760) 523-9000 | Starfish Mental Health 777 E Tahquitz Canyon Way Ste 200 Palm Springs CA 92262-6797 Ph: (760) 523-9000 |
| NPI Number | 1245967025 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 06/22/2024 |
| Certification Date | 06/22/2024 |
| Medicare PECOS PAC ID | 9931577210 |
|---|---|
| Medicare Enrollment ID | O20221117000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245967025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert Basque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811612021 PECOS PAC ID: 0840668125 Enrollment ID: I20221117000708 |
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