| The Mind Institute Psychotherapy, Inc. | |
|
32395 Clinton Keith Rd Ste A200 Wildomar CA 92595-7568 | |
| (833) 345-8444 | |
| Not Available |
| Full Name | The Mind Institute Psychotherapy, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 32395 Clinton Keith Rd Ste A200, Wildomar, California |
| Authorized Official Name and Position | Sandra Cortez (OWNER) |
| Authorized Official Contact | 8333458444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mind Institute Psychotherapy, Inc. 32395 Clinton Keith Rd Ste A200 Wildomar CA 92595-7568 Ph: (760) 217-4799 | The Mind Institute Psychotherapy, Inc. 32395 Clinton Keith Rd Ste A200 Wildomar CA 92595-7568 Ph: (833) 345-8444 |
| NPI Number | 1598492423 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Medicare PECOS PAC ID | 6204375207 |
|---|---|
| Medicare Enrollment ID | O20240822000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598492423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sandra Cortez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679024954 PECOS PAC ID: 4789014119 Enrollment ID: I20200424002583 |
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