| Fee-for-service Psychiatrist | |
|
1400 Emeline Ave Santa Cruz CA 95060-1976 | |
| (831) 454-4170 | |
| (831) 454-4663 |
| Full Name | Fee-for-service Psychiatrist |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1400 Emeline Ave, Santa Cruz, California |
| Authorized Official Name and Position | Rama Khalsa (HEALTH SERVICES AGENCY DIRECTOR) |
| Authorized Official Contact | 8314544000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fee-for-service Psychiatrist 1400 Emeline Ave Santa Cruz CA 95060-1976 Ph: (831) 454-4170 | Fee-for-service Psychiatrist 1400 Emeline Ave Santa Cruz CA 95060-1976 Ph: (831) 454-4170 |
| NPI Number | 1568660025 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568660025 | NPI | - | NPPES |
| 1659315430 | Other | CA | LEGAL ENTITY NPI# |
| 44A6 | Other | CA | FEE FOR SERVICE PROVIDER# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (California) | Primary |
Abrite, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 749 37th Ave, Santa Cruz, CA 95062 Phone: 844-334-7021 Fax: 888-334-7021 | |
Family Service Agency Of The Central Coast Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Walnut Ave, Ste 208, Santa Cruz, CA 95060 Phone: 831-423-9444 Fax: 831-423-1532 | |
Anna Paganelli, Ma, Mft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Soquel Ave Ste 107, Santa Cruz, CA 95062 Phone: 831-425-7400 | |
El Dorado Center Partial Hospitalization Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 947 El Dorado Ave, Santa Cruz, CA 95062 Phone: 831-479-7195 Fax: 831-479-0284 | |
Bonny Doon Union Elementary School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1492 Pine Flat Rd, Santa Cruz, CA 95060 Phone: 831-427-2300 | |
Holly Hughes & Co. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Front St Ste 370, Santa Cruz, CA 95060 Phone: 831-713-5609 | |
Coastline Support, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1509 Seabright Ave., C-1, Santa Cruz, CA 95062 Phone: 831-426-6436 Fax: 831-426-6891 |