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8355 Church St Gilroy CA 95020-4406 | |
| (408) 359-6700 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 8355 Church St, Gilroy, California |
| Authorized Official Name and Position | Stephanie Williams (CEO) |
| Authorized Official Contact | 4083596700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 657 Gilroy CA 95021-0657 Ph: (408) 359-6700 | 8355 Church St Gilroy CA 95020-4406 Ph: (408) 359-6700 |
| NPI Number | 1750926374 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Medicare PECOS PAC ID | 2769871268 |
|---|---|
| Medicare Enrollment ID | O20211122001207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750926374 | NPI | - | NPPES |
| Provider Name | Stephanie N Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669765590 PECOS PAC ID: 2567875875 Enrollment ID: I20210203001929 |
| Provider Name | Sheela Puri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174740021 PECOS PAC ID: 5395128821 Enrollment ID: I20220817000392 |
| Provider Name | Annette Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174923809 PECOS PAC ID: 9032592571 Enrollment ID: I20220817000853 |
| Provider Name | Wendy Herrera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194157107 PECOS PAC ID: 2264801463 Enrollment ID: I20221209002555 |
| Provider Name | Jesus Leyva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093950982 PECOS PAC ID: 0840665386 Enrollment ID: I20230414000021 |
| Provider Name | Torri A Taylor-spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376261743 PECOS PAC ID: 3072978030 Enrollment ID: I20230426000359 |
| Provider Name | Veronica Waters |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780897918 PECOS PAC ID: 0244619864 Enrollment ID: I20240405000699 |
Aspira Foster & Family Services - Gilroy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8375 Church St, Gilroy, CA 95020 Phone: 408-848-8128 Fax: 408-848-8893 | |
Community Solutions For Children, Families And Individuals Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 Carmel St, Gilroy, CA 95020 Phone: 408-842-7138 | |
Community Solutions For Children, Families And Individuals Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Old Gilroy St, Gilroy, CA 95020 Phone: 408-842-7138 | |