| Tpcp Coloma Center | |
|
1620 Santa Clara Dr Ste 100 Roseville CA 95661-3559 | |
| (916) 786-3750 | |
| Not Available |
| Full Name | Tpcp Coloma Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1620 Santa Clara Dr Ste 100, Roseville, California |
| Authorized Official Name and Position | Al Rowlett (CEO) |
| Authorized Official Contact | 9163648395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tpcp Coloma Center 10850 Gold Center Dr Ste 325 Rancho Cordova CA 95670-6177 Ph: (916) 364-8395 | Tpcp Coloma Center 1620 Santa Clara Dr Ste 100 Roseville CA 95661-3559 Ph: (916) 786-3750 |
| NPI Number | 1538324199 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 03/01/2022 |
| Certification Date | 03/01/2022 |
| Medicare PECOS PAC ID | 8628267721 |
|---|---|
| Medicare Enrollment ID | O20110105000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538324199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Robert C Franklin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164533329 PECOS PAC ID: 4789851668 Enrollment ID: I20120117000632 |
| Provider Name | Elizabeth W Bowler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215102165 PECOS PAC ID: 9638321649 Enrollment ID: I20121219000464 |
| Provider Name | Sharon Reyna Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417476680 PECOS PAC ID: 6507107869 Enrollment ID: I20190415001230 |
| Provider Name | Eduardo Radames Morales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346456571 PECOS PAC ID: 4284046467 Enrollment ID: I20201211000673 |
Beverly Chang Md, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1700 Eureka Rd Ste 140a, Roseville, CA 95661 Phone: 916-303-4353 Fax: 916-303-4356 | |
Full Cup Wellness Psychology Professional Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Eureka Rd Ste 155, Roseville, CA 95661 Phone: 916-705-2896 | |
Crisis Intervention Specialist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Cirby Hills Dr, Roseville, CA 95678 Phone: 530-401-3894 | |
Samson Psychiatry Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Sunrise Ave Ste 202c, Roseville, CA 95661 Phone: 530-341-2521 Fax: 844-769-4940 | |
Cwc Marriage And Family Therapy Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200-b Douglas Blvd., Suite 140, Roseville, CA 95661 Phone: 916-299-7271 | |
Placer County Hhs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Cirby Hills Dr, Roseville, CA 95678 Phone: 916-787-8803 Fax: 916-787-8899 | |
Fall Creek Counceling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 Sunrise Ave, 110, Roseville, CA 95661 Phone: 916-595-7233 |