| Behavioral Health Services | |
|
441 N Main St Alturas CA 96101-3457 | |
| (530) 233-6312 | |
| (530) 233-6339 |
| Full Name | Behavioral Health Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 441 N Main St, Alturas, California |
| Authorized Official Name and Position | Karen E. Stockton (DIRECTOR, HEALTH SERVICES) |
| Authorized Official Contact | 5302336312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services 441 N Main St Alturas CA 96101-3457 Ph: (530) 233-6312 | Behavioral Health Services 441 N Main St Alturas CA 96101-3457 Ph: (530) 233-6312 |
| NPI Number | 1396858668 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/14/2012 |
| 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 | Martin A Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073653861 PECOS PAC ID: 8527080498 Enrollment ID: I20051220000990 |
| Provider Name | Mindy L Crookham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467645382 PECOS PAC ID: 3779673363 Enrollment ID: I20071219000695 |
| 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 | Kathleen Timbers-coggin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407974827 PECOS PAC ID: 7618949595 Enrollment ID: I20150530000233 |
| 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 | Alisha A Romesha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831530682 PECOS PAC ID: 9032488945 Enrollment ID: I20170710001292 |
| 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 | Alyssa Tierney |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770949349 PECOS PAC ID: 9830541812 Enrollment ID: I20240115001801 |
Youth And Family Services 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 |