| Amhs Ccs Anaheim Recovery Center | |
|
511 N Brookhurst St Ste 200 Anaheim CA 92801-5229 | |
| (714) 780-0750 | |
| Not Available |
| Full Name | Amhs Ccs Anaheim Recovery Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 511 N Brookhurst St Ste 200, Anaheim, California |
| Authorized Official Name and Position | Tracy Ginter (DIRECTOR OF STATE OPERATIONS) |
| Authorized Official Contact | 6574659497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amhs Ccs Anaheim Recovery Center 8337 Telegraph Rd Ste 115 Pico Rivera CA 90660-4940 Ph: (562) 467-5577 | Amhs Ccs Anaheim Recovery Center 511 N Brookhurst St Ste 200 Anaheim CA 92801-5229 Ph: (714) 780-0750 |
| NPI Number | 1043354624 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/06/2023 |
| Medicare PECOS PAC ID | 4183767999 |
|---|---|
| Medicare Enrollment ID | O20100415000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043354624 | NPI | - | NPPES |
| 30CS | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jairo Gomez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417055104 PECOS PAC ID: 3173596103 Enrollment ID: I20040817000970 |
| Provider Name | Jagdeep S Garewal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427190487 PECOS PAC ID: 2264405075 Enrollment ID: I20040818000929 |
| Provider Name | Douglas J Schave |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427263953 PECOS PAC ID: 8426011404 Enrollment ID: I20041110000755 |
| Provider Name | Nancy A Metcalf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508910076 PECOS PAC ID: 2769567734 Enrollment ID: I20080314000408 |
| Provider Name | Connery Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124294145 PECOS PAC ID: 6901951615 Enrollment ID: I20090902000140 |
| Provider Name | Bruce D Appelbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528046463 PECOS PAC ID: 6002942679 Enrollment ID: I20100407000653 |
| Provider Name | Melinda J Echeverria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003834367 PECOS PAC ID: 7517145030 Enrollment ID: I20110630000634 |
| Provider Name | Chung-lim Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033361720 PECOS PAC ID: 9032397310 Enrollment ID: I20110711000486 |
| Provider Name | Jill A Cavish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669499588 PECOS PAC ID: 5193996965 Enrollment ID: I20110928000030 |
| Provider Name | Joseph P Weigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063563542 PECOS PAC ID: 1153587324 Enrollment ID: I20120717000239 |
| Provider Name | David B Light |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245669134 PECOS PAC ID: 4587893086 Enrollment ID: I20140203001467 |
| Provider Name | Berlynn A Ching |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306199906 PECOS PAC ID: 3375768666 Enrollment ID: I20140630000375 |
| Provider Name | Charlotte Maria Primo Mizuta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437791381 PECOS PAC ID: 9335579267 Enrollment ID: I20200416003971 |
| Provider Name | Timothy Alan Morrisse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336288430 PECOS PAC ID: 7810328945 Enrollment ID: I20200505002687 |
| Provider Name | Dany Jessica Thor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699491860 PECOS PAC ID: 0244684413 Enrollment ID: I20230922000445 |
| Provider Name | Maria Del Carmen Bernal |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003111386 PECOS PAC ID: 0840642070 Enrollment ID: I20240123003708 |
| Provider Name | Claudia Ojeda |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568864064 PECOS PAC ID: 6507209327 Enrollment ID: I20240208003205 |
| Provider Name | Jody Ann Vizcay |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245557974 PECOS PAC ID: 9436594769 Enrollment ID: I20240227001437 |
| Provider Name | Nubia Hennessey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861676587 PECOS PAC ID: 7719323294 Enrollment ID: I20240306002892 |
Seneca Family Of Agencies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 S Quintana Dr, Anaheim, CA 92807 Phone: 714-979-2365 | |
Orange County Neurological Medical Group Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1211 W La Palma Ave Ste 710, Anaheim, CA 92801 Phone: 714-730-0311 Fax: 714-922-8093 | |
Jasjit Kaur,m.d.inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 S Anaheim Blvd, Anaheim, CA 92805 Phone: 213-804-8854 | |
California Neurovascular Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 W La Palma Ave Ste 7101211w, Anaheim, CA 92801 Phone: 657-888-9199 | |
John A. Rabin, M.d., A Medical Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3055 W Orange Ave Ste 206, Anaheim, CA 92804 Phone: 310-721-7547 Fax: 714-229-5785 | |
Clayworks 4 Kids Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 S Norma Ln, Anaheim, CA 92802 Phone: 949-554-4062 Fax: 949-203-6114 |