Dr Ellen Faryna, PHD is a
Psychologist - Clinical based in Forestville, California. Dr Ellen Faryna is licensed to practice in California (license number PSY17338) and her current practice location is
6400 Hidden Lake Rd, Forestville, California. She can be reached at her office (for appointments etc.) via phone at
(707) 318-7896.
NPI number for Dr Ellen Faryna is 1518180470 and her current mailing address is 6400 Hidden Lake Rd, Forestville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518180470.
Healthcare Provider's Profile
Full Name | Dr Ellen Faryna |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 6400 Hidden Lake Rd, Forestville, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518180470
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 05/17/2016
Medical Identifiers
Medical identifiers for Dr Ellen Faryna such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518180470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY17338 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ellen Faryna is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Ellen Faryna, PHD 6400 Hidden Lake Rd, Forestville, CA 95436-9212 Ph: (707) 318-7896 | Dr Ellen Faryna, PHD 6400 Hidden Lake Rd, Forestville, CA 95436-9212 Ph: (707) 318-7896 |
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