| Affirm & Embrace Psychotherapy Inc | |
|
441 Park Ave San Jose CA 95110-2615 | |
| (669) 262-7070 | |
| (408) 287-7428 |
| Full Name | Affirm & Embrace Psychotherapy Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 441 Park Ave, San Jose, California |
| Authorized Official Name and Position | Hoangoanh Anna Thi Nguyen (OWNER) |
| Authorized Official Contact | 6692627070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affirm & Embrace Psychotherapy Inc Po Box 41132 San Jose CA 95160-1132 Ph: (669) 262-7070 | Affirm & Embrace Psychotherapy Inc 441 Park Ave San Jose CA 95110-2615 Ph: (669) 262-7070 |
| NPI Number | 1023712940 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 05/25/2023 |
| Medicare PECOS PAC ID | 9234573338 |
|---|---|
| Medicare Enrollment ID | O20240216001637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023712940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Hoangoanh Anna Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508347097 PECOS PAC ID: 0143664243 Enrollment ID: I20240216001735 |
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