|
| |
|
1965 Live Oak Blvd Ste A Attn Sybh (adult Outpatient) Yuba City CA 95991-8850 | |
| (530) 822-7200 | |
| (530) 822-7108 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1965 Live Oak Blvd Ste A, Yuba City, California |
| Authorized Official Name and Position | Rick Bingham (ASSISTANT HHS DIRECTOR) |
| Authorized Official Contact | 5308227327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1965 Live Oak Blvd Ste A Attn Sybh (adult Outpatient) Yuba City CA 95991-8850 Ph: (530) 822-7200 | 1965 Live Oak Blvd Ste A Attn Sybh (adult Outpatient) Yuba City CA 95991-8850 Ph: (530) 822-7200 |
| NPI Number | 1639397417 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 8426035627 |
|---|---|
| Medicare Enrollment ID | O20090114000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639397417 | NPI | - | NPPES |
| 5801 | Other | CA | SHORT-DOYLE MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth B Willerup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003801820 PECOS PAC ID: 0749217081 Enrollment ID: I20050719000696 |
| Provider Name | Peter J Cotsirilos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235378621 PECOS PAC ID: 2668524315 Enrollment ID: I20090710000353 |
| Provider Name | Hardeep Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639369168 PECOS PAC ID: 6204005143 Enrollment ID: I20110809000796 |
| Provider Name | Meekile N.g. Mason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477750743 PECOS PAC ID: 7517028996 Enrollment ID: I20151014002627 |
| Provider Name | Mai Y Vang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275678302 PECOS PAC ID: 2860766300 Enrollment ID: I20170921001078 |
| Provider Name | Adrian Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861577819 PECOS PAC ID: 8729354998 Enrollment ID: I20171017001006 |
| Provider Name | Sheela Zachariah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124155072 PECOS PAC ID: 3173956133 Enrollment ID: I20191204002489 |
| Provider Name | Parminder Heer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710214978 PECOS PAC ID: 0648698654 Enrollment ID: I20200908001663 |
| Provider Name | Navneet Bains |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861847758 PECOS PAC ID: 8123447521 Enrollment ID: I20201005001826 |
| Provider Name | Georgina Duran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255649430 PECOS PAC ID: 8325468309 Enrollment ID: I20201013000864 |
| Provider Name | Dustina Oma Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861528176 PECOS PAC ID: 4688083496 Enrollment ID: I20210507000578 |
| Provider Name | Mark Wilson Schlutsmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821124124 PECOS PAC ID: 8729464334 Enrollment ID: I20221005002858 |
| Provider Name | Darrin Mitchell Whittaker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457492837 PECOS PAC ID: 1951740968 Enrollment ID: I20240423002390 |
| Provider Name | Joshua Dudley Lasiter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508211269 PECOS PAC ID: 1759721236 Enrollment ID: I20240501000860 |
| Provider Name | Michael Anthony Nevans |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275886004 PECOS PAC ID: 9931541505 Enrollment ID: I20240528002959 |
| Provider Name | Ryan Tyler Corbin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093314536 PECOS PAC ID: 7911449210 Enrollment ID: I20240601000413 |
| Provider Name | Isac Mircea Matei |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750801106 PECOS PAC ID: 9436692647 Enrollment ID: I20240617001193 |
| Provider Name | Melissa May Baker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043349228 PECOS PAC ID: 2466996202 Enrollment ID: I20240703001061 |
| Provider Name | Adam Reeb |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134497472 PECOS PAC ID: 7113462136 Enrollment ID: I20240715002849 |
| Provider Name | Tracy Lanae Phillips |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770073702 PECOS PAC ID: 7719422427 Enrollment ID: I20240717001524 |
| Provider Name | Misty Utter |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114324803 PECOS PAC ID: 1456899962 Enrollment ID: I20240815001283 |
| Provider Name | Tia Davis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114370970 PECOS PAC ID: 2264871136 Enrollment ID: I20240821003612 |
| Provider Name | Theresa Maraganis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1033468160 PECOS PAC ID: 7517406218 Enrollment ID: I20240826003816 |
| Provider Name | Corlie Presswood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427538487 PECOS PAC ID: 6709319122 Enrollment ID: I20241023004734 |
Buddys Ranch Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 Gray Ave, Yuba City, CA 95991 Phone: 530-632-8219 Fax: 916-500-0609 | |
Wellpath Community Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1352 Colusa Hwy Ste C, Yuba City, CA 95993 Phone: 530-618-8178 Fax: 530-618-8031 | |
County Of Sutter Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1965 Live Oak Blvd Ste C, Yuba City, CA 95991 Phone: 530-822-7200 | |
Youth For Change Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 Phone: 530-894-5933 Fax: 530-894-5791 | |
North Valley Neurologic Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 367 Del Norte #4, Yuba City, CA 95991 Phone: 530-751-9604 Fax: 530-751-9530 | |
Atibas Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3229 Caminito Ave, Yuba City, CA 95991 Phone: 530-713-9829 |