| County Of Modoc | |
|
441 N Main St Alturas CA 96101-3457 | |
| (530) 233-6312 | |
| (530) 233-6339 |
| Full Name | County Of Modoc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 441 N Main St, Alturas, California |
| Authorized Official Name and Position | Dolores Navarro-turner (BEHAVIORAL HEALTH BRANCH DIRECTOR) |
| Authorized Official Contact | 5302336312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Modoc 441 N Main St Alturas CA 96101-3457 Ph: (530) 233-6312 | County Of Modoc 441 N Main St Alturas CA 96101-3457 Ph: (530) 233-6312 |
| NPI Number | 1396858668 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Medicare PECOS PAC ID | 5193987808 |
|---|---|
| Medicare Enrollment ID | O20120425000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396858668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| Provider Name | Edward P Richert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376586529 PECOS PAC ID: 6901989052 Enrollment ID: I20091009000185 |
| Provider Name | Thomas J Andrews |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245393651 PECOS PAC ID: 7618015983 Enrollment ID: I20091130000432 |
| Provider Name | Dolores C Navarro Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861774325 PECOS PAC ID: 3476849787 Enrollment ID: I20160913002621 |
| Provider Name | Elisa L Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457456030 PECOS PAC ID: 2466749171 Enrollment ID: I20160923001185 |
| Provider Name | Theresa T Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679884928 PECOS PAC ID: 0648603233 Enrollment ID: I20191212002388 |
| Provider Name | Stacy E Sphar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659777621 PECOS PAC ID: 1052786225 Enrollment ID: I20230331002533 |
| Provider Name | Julie A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366879413 PECOS PAC ID: 6305207002 Enrollment ID: I20230727002545 |
| Provider Name | Kathy A Gallardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528273943 PECOS PAC ID: 1951397561 Enrollment ID: I20230928001777 |
| Provider Name | Alyssa Tierney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770949349 PECOS PAC ID: 9830541812 Enrollment ID: I20240115001801 |
Yarberry Consulting (behavior Bits), Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 W 2nd St, Alturas, CA 96101 Phone: 707-616-9803 | |
Teach Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E 2nd St, Alturas, CA 96101 Phone: 530-233-4929 | |
Modoc County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 441 N Main St, Alturas, CA 96101 Phone: 530-233-6312 Fax: 530-233-6339 | |
Kids Konnect Aba Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 N Main St, Alturas, CA 96101 Phone: 530-708-3083 |