| California Brain Health Center | |
|
100 Shoreline Hwy Ste 100 Mill Valley CA 94941-3645 | |
| (415) 877-4408 | |
| Not Available |
| Full Name | California Brain Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Shoreline Hwy Ste 100, Mill Valley, California |
| Authorized Official Name and Position | Thomas Kiely (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 6504559514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Brain Health Center 100 Shoreline Hwy Bldg B, Suite 100 Mill Valley CA 94941 Ph: (415) 877-4408 | California Brain Health Center 100 Shoreline Hwy Ste 100 Mill Valley CA 94941-3645 Ph: (415) 877-4408 |
| NPI Number | 1760900831 |
|---|---|
| Provider Enumeration Date | 09/08/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8921373184 |
|---|---|
| Medicare Enrollment ID | O20171013002637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760900831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Caitlin Scarlett Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700216082 PECOS PAC ID: 1658646815 Enrollment ID: I20171109001317 |
| Provider Name | Elizabeth Ann Wolpern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669029971 PECOS PAC ID: 1153753850 Enrollment ID: I20191119001254 |
| Provider Name | Katherine Elizabeth Beckwith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346823788 PECOS PAC ID: 5698164259 Enrollment ID: I20211119002020 |
| Provider Name | Paul Mangal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245854660 PECOS PAC ID: 8224407689 Enrollment ID: I20221207002485 |
| Provider Name | Diane Hoang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235723347 PECOS PAC ID: 8527437565 Enrollment ID: I20221213002416 |
| Provider Name | Jessica Elizabeth Groberio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023590940 PECOS PAC ID: 5294109690 Enrollment ID: I20230327002005 |
| Provider Name | Jillian Tessier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093494544 PECOS PAC ID: 9032570064 Enrollment ID: I20230807002361 |
| Provider Name | Sarah Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356026470 PECOS PAC ID: 0042673915 Enrollment ID: I20230824002377 |
| Provider Name | Anh Phuong Ha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144907775 PECOS PAC ID: 9032572938 Enrollment ID: I20230824003707 |
Mill Valley Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Camino Alto, #107, Mill Valley, CA 94941 Phone: 415-388-0775 Fax: 415-388-6542 | |
David Harold Berman, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 333 Marion Ave, Mill Valley, CA 94941 Phone: 415-383-9792 | |
Douglas E. Cohen Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 Redwood Hwy Frontage Rd Ste 375, Mill Valley, CA 94941 Phone: 415-384-0506 | |
Robert E Belknap Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 Redwood Hwy, Mill Valley, CA 94941 Phone: 415-384-0506 Fax: 415-384-0569 | |
Freund Chiropractic Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 641 E Blithedale Ave Ste A, Mill Valley, CA 94941 Phone: 415-634-8553 | |
California Spine, Sports And Rehabilitation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 591 Redwood Highway, Suite 5285, Mill Valley, CA 94941 Phone: 415-380-1840 Fax: 415-380-1842 | |
Tremayne Group Chiropractic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Miller Ave Ste A, Mill Valley, CA 94941 Phone: 415-383-0904 |