| Reclaim Joy Medical | |
|
4633 Old Ironsides Dr Ste 210 Santa Clara CA 95054-1836 | |
| (669) 242-5151 | |
| (669) 242-5152 |
| Full Name | Reclaim Joy Medical |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4633 Old Ironsides Dr Ste 210, Santa Clara, California |
| Authorized Official Name and Position | Suzanna Freerksen (PRESIDENT) |
| Authorized Official Contact | 6692425151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reclaim Joy Medical 3141 Stevens Creek Blvd Ste 40141 San Jose CA 95117-1141 Ph: (669) 242-5151 | Reclaim Joy Medical 4633 Old Ironsides Dr Ste 210 Santa Clara CA 95054-1836 Ph: (669) 242-5151 |
| NPI Number | 1619449105 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Medicare PECOS PAC ID | 6901147859 |
|---|---|
| Medicare Enrollment ID | O20190403001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619449105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Suzanna L Freerksen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881821791 PECOS PAC ID: 6901069848 Enrollment ID: I20150414002219 |
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