Fee-For-Service Psychologist in Santa Cruz - Adult Mental Health

Fee-For-Service Psychologist - NPI 1477751931

Fee-For-Service Psychologist is a Adult Mental Health in Santa Cruz, California. Fee-For-Service Psychologist practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Fee-For-Service Psychologist is 1477751931. The last update date is 2008-06-16.

Fee-For-Service Psychologist's current location address is 1400 Emeline Ave, Santa Cruz, California. You can contact this provider via phone number 8314544170 and fax number 8314544663. The mailing address for Fee-For-Service Psychologist is 1400 Emeline Ave, Santa Cruz, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fee-For-Service Psychologist
Address 1400 Emeline Ave, Santa Cruz, California
Phone Number 8314544170
Fax Number 8314544663
Sole Proprietor --
Credentials --

Authorized Official

Title or Position HEALTH SER
Authorized Official Name Khalsa Rama
Credentials PH.D.
Telephone Number 8314544000

NPI Number Detail

NPI Number 1477751931
Provider Enumeration Date 2007-07-06
Last Updated Date 2008-06-16

Provider Mailing Address Detail

Address 1400 Emeline Ave
City Santa Cruz
State California (CA)
Post Code 950601976
Phone Number 8314544170
Fax Number 8314544663

Provider's Primary Taxonomy Detail

Speciality Adult Mental Health
Taxonomy 261Qm0850X
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1659315430 CA LEGAL ENTITY NPI#
44A7 CA --

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FAQs about Fee-For-Service Psychologist

What is the Fee-For-Service Psychologist's 1477751931?

The Fee-For-Service Psychologist's NPI (National Provider Identifier) Number is 1477751931. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Fee-For-Service Psychologist?

The Fee-For-Service Psychologist is physically situated at 1400 Emeline Ave, in the city of Santa Cruz, state of CA, with the postal code 950601976.

What is Fee-For-Service Psychologist's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Fee-For-Service Psychologist is Adult Mental Health, and the taxonomy code that categorizes this field of expertise is 261Qm0850X.

On what date did the Centers for Medicare & Medicaid Services assign the 1477751931 to Fee-For-Service Psychologist?

The Centers for Medicare & Medicaid Services assigned the 1477751931 to Fee-For-Service Psychologist on 2007-07-06.

As of what date were the Fee-For-Service Psychologist's details last updated?

The information pertaining to the Fee-For-Service Psychologist, including its address, specialty, and other details, was most recently updated on 2008-06-16.

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