| Tri-city Mental Health Authority | |
|
2008 N Garey Ave Pomona CA 91767-2722 | |
| (909) 623-6131 | |
| (909) 865-9281 |
| Full Name | Tri-city Mental Health Authority |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2008 N Garey Ave, Pomona, California |
| Authorized Official Name and Position | Natalie Majors (DIRECTOR OF OPERATION) |
| Authorized Official Contact | 9096236131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-city Mental Health Authority 2008 N Garey Ave Pomona CA 91767-2722 Ph: (909) 623-6131 | Tri-city Mental Health Authority 2008 N Garey Ave Pomona CA 91767-2722 Ph: (909) 623-6131 |
| NPI Number | 1346304920 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Medicare PECOS PAC ID | 6002710506 |
|---|---|
| Medicare Enrollment ID | O20031125000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346304920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Wayne E Houpt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396796058 PECOS PAC ID: 8123924826 Enrollment ID: I20031211001192 |
| Provider Name | Monica Ng |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083692016 PECOS PAC ID: 5496845570 Enrollment ID: I20071212000689 |
| Provider Name | Indirarani Prasad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114972213 PECOS PAC ID: 5496718751 Enrollment ID: I20080220000459 |
| Provider Name | Seeyam Teimoori Nobandegani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790977726 PECOS PAC ID: 3173788122 Enrollment ID: I20131203002063 |
| Provider Name | Jonathan E Shaywitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770754202 PECOS PAC ID: 2466646716 Enrollment ID: I20140725001467 |
| Provider Name | Larissa A Grace |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366671596 PECOS PAC ID: 6901025121 Enrollment ID: I20140919000915 |
| Provider Name | Jonson J Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114101995 PECOS PAC ID: 4880772623 Enrollment ID: I20150211002217 |
| Provider Name | Susan Maria Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922147230 PECOS PAC ID: 1759690530 Enrollment ID: I20151016002234 |
| Provider Name | Sharon D Tanghal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205966421 PECOS PAC ID: 9234430182 Enrollment ID: I20151217001358 |
| Provider Name | Yvonne G Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639375777 PECOS PAC ID: 5799088225 Enrollment ID: I20160115002524 |
| Provider Name | Jia Mao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386959062 PECOS PAC ID: 1254636525 Enrollment ID: I20160224001353 |
| Provider Name | Jennifer Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457632333 PECOS PAC ID: 4789947045 Enrollment ID: I20180419000628 |
| Provider Name | Oluwole O Olusola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972529170 PECOS PAC ID: 6002991775 Enrollment ID: I20190514001104 |
| Provider Name | Kirandeep K Sandhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013352426 PECOS PAC ID: 0941634349 Enrollment ID: I20191217003142 |
| Provider Name | Marysa V Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487056495 PECOS PAC ID: 7618380007 Enrollment ID: I20201231001802 |
| Provider Name | Jennifer A Hatfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740793751 PECOS PAC ID: 1355756578 Enrollment ID: I20210222002696 |
| Provider Name | Miani A Giron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295314615 PECOS PAC ID: 6002288511 Enrollment ID: I20230209002509 |
| Provider Name | Nyssa Adackapara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689093494 PECOS PAC ID: 5395199202 Enrollment ID: I20230926004306 |
| Provider Name | Maria J Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144778838 PECOS PAC ID: 9537505193 Enrollment ID: I20240306002138 |
| Provider Name | Abigail F Torcedo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184145708 PECOS PAC ID: 1355787870 Enrollment ID: I20240306004404 |
| Provider Name | Stephanie L Arredondo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356891055 PECOS PAC ID: 2264872183 Enrollment ID: I20240425002264 |
| Provider Name | Corinne Lasalle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558934232 PECOS PAC ID: 1557701406 Enrollment ID: I20240425003520 |
| Provider Name | Maria Zuleta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609385871 PECOS PAC ID: 8729428545 Enrollment ID: I20240426002314 |
| Provider Name | Mariel E Fuller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326214867 PECOS PAC ID: 7214379122 Enrollment ID: I20240523001812 |
| Provider Name | Cinthia Zamora Arenas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811541014 PECOS PAC ID: 0244772366 Enrollment ID: I20240604004460 |
| Provider Name | Jessica E Sanchez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558597500 PECOS PAC ID: 4688117963 Enrollment ID: I20240614000921 |
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