Richard Brian Mahan, PHD | |
110 N Santa Cruz Ave, Suite B, Los Gatos, CA 95030-5919 | |
(408) 409-0039 | |
(408) 620-1340 |
Full Name | Richard Brian Mahan |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 110 N Santa Cruz Ave, Los Gatos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417121476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY23768 (California) | Primary |
Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Other Medical Care Group |
Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
Mailing Address | Practice Location Address |
---|---|
Richard Brian Mahan, PHD 110 N Santa Cruz Ave, Suite B, Los Gatos, CA 95030-5919 Ph: (408) 409-0039 | Richard Brian Mahan, PHD 110 N Santa Cruz Ave, Suite B, Los Gatos, CA 95030-5919 Ph: (408) 409-0039 |
Dr. Sophie P. Giles, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 Parr Avenue, Suite K, Los Gatos, CA 95032 Phone: 408-907-3194 Fax: 408-370-9208 | |
Dr. Matthew Metzger, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 475 Alberto Way Ste 180, Los Gatos, CA 95032 Phone: 970-236-6240 Fax: 408-550-1879 | |
Dr. Eric Thomas Olsen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 812 Pollard Rd, Suite 6, Los Gatos, CA 95032 Phone: 408-375-6646 | |
Supieri Molly Coppel, LEP #3883 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15951 Los Gatos Blvd, Los Gatos, CA 95032 Phone: 408-358-1853 | |
Michael Slone, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 455 Los Gatos Blvd Ste 104, Los Gatos, CA 95032 Phone: 408-355-0019 | |
Dr. Paulette Deanne Jacome, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Pollard Rd, Suite B-201, Los Gatos, CA 95032 Phone: 408-799-6149 Fax: 408-374-7127 | |
Dr. Richard Joshua Maddox, M.A., PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 409 Alberto Way, Suite 5, Los Gatos, CA 95032 Phone: 408-357-4102 Fax: 408-550-1879 |