| Tuolumne County Behavioral Health | |
|
105 Hospital Road Sonora CA 95370-5227 | |
| (209) 533-6245 | |
| (209) 588-9563 |
| Full Name | Tuolumne County Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 105 Hospital Road, Sonora, California |
| Authorized Official Name and Position | Tami Demello Mariscal (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 2095336245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuolumne County Behavioral Health 2 South Green Street Sonora CA 95370-4618 Ph: (209) 533-6245 | Tuolumne County Behavioral Health 105 Hospital Road Sonora CA 95370-5227 Ph: (209) 533-6245 |
| NPI Number | 1366618035 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 5991616856 |
|---|---|
| Medicare Enrollment ID | O20120518000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366618035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Evelyn B Aquino Caro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679668016 PECOS PAC ID: 0749298198 Enrollment ID: I20060328000194 |
| Provider Name | Alan Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912931098 PECOS PAC ID: 6608936299 Enrollment ID: I20081201000281 |
| Provider Name | Julian S Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316002892 PECOS PAC ID: 8426155490 Enrollment ID: I20090302000153 |
| Provider Name | Diana L Verde |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235347576 PECOS PAC ID: 5395896278 Enrollment ID: I20090707000040 |
| Provider Name | Glenn I Ikawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497965073 PECOS PAC ID: 3870630023 Enrollment ID: I20091021000366 |
| Provider Name | Zaheer U Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134330368 PECOS PAC ID: 5991897514 Enrollment ID: I20140819000007 |
| Provider Name | Andrew William Goddard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346294725 PECOS PAC ID: 9436284056 Enrollment ID: I20141008002505 |
| Provider Name | Paul A Van Ravenswaay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790766566 PECOS PAC ID: 3072796390 Enrollment ID: I20160712002248 |
| Provider Name | Ninos P Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295143907 PECOS PAC ID: 1052616125 Enrollment ID: I20180801001988 |
| Provider Name | Thomas Lewis Firnberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164597472 PECOS PAC ID: 4789867565 Enrollment ID: I20200709001052 |
| Provider Name | Betty G Hoskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417213307 PECOS PAC ID: 7719360973 Enrollment ID: I20220821000022 |
| Provider Name | Sheila A Redoutey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568952976 PECOS PAC ID: 9638554207 Enrollment ID: I20220917000156 |
| Provider Name | Donna L Villanueva |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902311863 PECOS PAC ID: 5496193476 Enrollment ID: I20240410000912 |
| Provider Name | Brock T. Kolby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114070729 PECOS PAC ID: 5698113504 Enrollment ID: I20240410002315 |
| Provider Name | Stephen M Roos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144889064 PECOS PAC ID: 9931547841 Enrollment ID: I20240410002416 |
| Provider Name | Therese M Rutherford |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386134450 PECOS PAC ID: 4981042801 Enrollment ID: I20240410002685 |
| Provider Name | Rayanne R Tamayo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902456577 PECOS PAC ID: 1951749878 Enrollment ID: I20240410002785 |
| Provider Name | Thomas M Vicknair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619467024 PECOS PAC ID: 9335581248 Enrollment ID: I20240523002074 |
Forest Road Health & Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 193 Fairview Ln, Sonora, CA 95370 Phone: 209-536-5100 Fax: 209-536-5108 | |
Kings View Community Services - Sonora Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14663 Mono Way, Sonora, CA 95370 Phone: 559-532-0307 | |
Natalie Gray Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19526 Hillsdale Dr Ste B, Sonora, CA 95370 Phone: 209-352-5105 | |
Tiffany Nath Lmft Marriage And Family Therapy Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 N Washington St Ste 1, Sonora, CA 95370 Phone: 209-743-3553 Fax: 209-533-3990 | |
Affinity Health And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 S Washington St, Sonora, CA 95370 Phone: 209-559-2432 Fax: 209-532-5003 | |
Central Sierra Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 S Washington St, Sonora, CA 95370 Phone: 209-536-4874 Fax: 209-536-4232 | |
Tuolumne General Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Tgh Ml Fac - Ip Psych, Sonora, CA 95370 Phone: 209-533-7100 |