| Sunny Hills Behavioral Health, Inc. | |
|
140 E. Commonwealth Ave. Suite 101 Fullerton CA 92832-3616 | |
| (714) 773-4111 | |
| (714) 773-4222 |
| Full Name | Sunny Hills Behavioral Health, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 140 E. Commonwealth Ave., Fullerton, California |
| Authorized Official Name and Position | Sandhya R Gudapati (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7147734111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunny Hills Behavioral Health, Inc. 140 E. Commonwealth Ave. Suite 101 Fullerton CA 92832-3616 Ph: (714) 773-4111 | Sunny Hills Behavioral Health, Inc. 140 E. Commonwealth Ave. Suite 101 Fullerton CA 92832-3616 Ph: (714) 773-4111 |
| NPI Number | 1467551200 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 04/22/2023 |
| Certification Date | 05/25/2022 |
| Medicare PECOS PAC ID | 0244299139 |
|---|---|
| Medicare Enrollment ID | O20041006001069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467551200 | NPI | - | NPPES |
| 00A462391 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A46239 (California) | Primary |
| Provider Name | Sheela Kanaka Surapaneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154445450 PECOS PAC ID: 9032000815 Enrollment ID: I20040322001354 |
| Provider Name | Sandhya R Gudapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962625384 PECOS PAC ID: 7113986019 Enrollment ID: I20041022000886 |
| Provider Name | Sandra M Hayden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831381490 PECOS PAC ID: 8628118452 Enrollment ID: I20091229000450 |
| Provider Name | Terrence K Maher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669554143 PECOS PAC ID: 2567636004 Enrollment ID: I20111121000087 |
| Provider Name | Grant Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689812265 PECOS PAC ID: 2062756893 Enrollment ID: I20181205003325 |
| Provider Name | Appolonia Olumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952559114 PECOS PAC ID: 5395171474 Enrollment ID: I20200210000230 |
| Provider Name | Parool B Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740489764 PECOS PAC ID: 6002233665 Enrollment ID: I20200827000699 |
| Provider Name | Anthony Lyn Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740824275 PECOS PAC ID: 2961813621 Enrollment ID: I20201201002692 |
| Provider Name | Rohit Sanjeev Aiyer |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1801207014 PECOS PAC ID: 2466787031 Enrollment ID: I20220810003565 |
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Soar Behavior Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1764 E Commonwealth Ave, Unit 104, Fullerton, CA 92831 Phone: 657-217-0966 | |
Orange County Center For Psychotherapy And Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 213 N Pomona Ave, Fullerton, CA 92832 Phone: 714-447-8011 Fax: 714-871-2203 | |
Sunny Hills Behavioral Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 W Bastanchury Rd, Suite 1a, Fullerton, CA 92835 Phone: 714-773-4111 Fax: 714-773-4222 | |
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