| Sunrise Counseling Group | |
|
729 Sunrise Ave Ste 101 Roseville CA 95661-4504 | |
| (916) 782-3800 | |
| (916) 782-3820 |
| Full Name | Sunrise Counseling Group |
|---|---|
| Speciality | Psychologist |
| Location | 729 Sunrise Ave Ste 101, Roseville, California |
| Authorized Official Name and Position | Stephen Gary Mcclure (PRESIDENT/OWNER) |
| Authorized Official Contact | 9167823800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Counseling Group 729 Sunrise Ave Ste 101 Roseville CA 95661-4504 Ph: (916) 782-3800 | Sunrise Counseling Group 729 Sunrise Ave Ste 101 Roseville CA 95661-4504 Ph: (916) 782-3800 |
| NPI Number | 1891337820 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Medicare PECOS PAC ID | 6709275639 |
|---|---|
| Medicare Enrollment ID | O20211116000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891337820 | NPI | - | NPPES |
| 1386313252 | Other | NPI | |
| 1811061864 | Other | CA | NPI |
| 1932457493 | Other | CA | NPI |
| 1124103346 | Other | CA | NPI |
| 1720471766 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephen G Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811061864 PECOS PAC ID: 9335265362 Enrollment ID: I20100928000732 |
| Provider Name | Erin C Slattery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124103346 PECOS PAC ID: 3072944735 Enrollment ID: I20200727003309 |
| Provider Name | Vanessa J Brien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720471766 PECOS PAC ID: 0648669705 Enrollment ID: I20211110002088 |
| Provider Name | Sherri L Holt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932457439 PECOS PAC ID: 6901295096 Enrollment ID: I20211110003073 |
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