| Acacia Mental Health | |
|
877 W Fremont Ave Ste N3 Sunnyvale CA 94087-2332 | |
| (650) 993-9996 | |
| (650) 999-0939 |
| Full Name | Acacia Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 877 W Fremont Ave Ste N3, Sunnyvale, California |
| Authorized Official Name and Position | David M Carreon (OWNER) |
| Authorized Official Contact | 6509939996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acacia Mental Health 877 W Fremont Ave Ste J1 Sunnyvale CA 94087-2332 Ph: (650) 993-9996 | Acacia Mental Health 877 W Fremont Ave Ste N3 Sunnyvale CA 94087-2332 Ph: (650) 993-9996 |
| NPI Number | 1720572274 |
|---|---|
| Provider Enumeration Date | 06/19/2018 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Medicare PECOS PAC ID | 0547504912 |
|---|---|
| Medicare Enrollment ID | O20181212001278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720572274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A138528 (California) | Primary |
| Provider Name | Noah Degaetano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326247644 PECOS PAC ID: 9830371228 Enrollment ID: I20110307000334 |
| Provider Name | David Mikel Carreon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952720161 PECOS PAC ID: 6305195603 Enrollment ID: I20180820003106 |
| Provider Name | Monica Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639676307 PECOS PAC ID: 1850712522 Enrollment ID: I20210119001193 |
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