| House Psychiatric Clinic, Inc. | |
|
1322 E Shaw Ave Suite 410 Fresno CA 93710-0000 | |
| (559) 226-1316 | |
| (559) 226-1315 |
| Full Name | House Psychiatric Clinic, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1322 E Shaw Ave, Fresno, California |
| Authorized Official Name and Position | Matthew Benijah Judson House (PRESIDENT/CEO) |
| Authorized Official Contact | 5592261316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| House Psychiatric Clinic, Inc. 1322 E Shaw Ave Suite 410 Fresno CA 93710-0000 Ph: (559) 226-1316 | House Psychiatric Clinic, Inc. 1322 E Shaw Ave Suite 410 Fresno CA 93710-0000 Ph: (559) 226-1316 |
| NPI Number | 1235314246 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 4587742432 |
|---|---|
| Medicare Enrollment ID | O20080417000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235314246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2OA7888 (California) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 2OA7888 (California) | Secondary |
| Provider Name | Susan E Harrington Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194731018 PECOS PAC ID: 3072410943 Enrollment ID: I20031217001118 |
| Provider Name | Matthew B House |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134192842 PECOS PAC ID: 5395792337 Enrollment ID: I20050401000643 |
| Provider Name | Mary Margaret House |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740401454 PECOS PAC ID: 8325088859 Enrollment ID: I20050504000716 |
| Provider Name | Wendy J Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912004896 PECOS PAC ID: 4183708761 Enrollment ID: I20080220000518 |
| Provider Name | Susan Davin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871598623 PECOS PAC ID: 2769560614 Enrollment ID: I20080417000696 |
| Provider Name | Lana P Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063698884 PECOS PAC ID: 1355471046 Enrollment ID: I20100607000200 |
| Provider Name | Joanne Beattie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215083621 PECOS PAC ID: 6103046685 Enrollment ID: I20141003002191 |
| Provider Name | Noah M Sarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114377686 PECOS PAC ID: 7315232824 Enrollment ID: I20160823002044 |
| Provider Name | Melissa M Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366843229 PECOS PAC ID: 0345512703 Enrollment ID: I20170818002027 |
| Provider Name | Sheng Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518448521 PECOS PAC ID: 4486998028 Enrollment ID: I20181207001622 |
| Provider Name | Donald T Vercellini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518440361 PECOS PAC ID: 8921497090 Enrollment ID: I20211110002424 |
| Provider Name | Justin Matthew Wallace |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417331679 PECOS PAC ID: 3072964089 Enrollment ID: I20240103004061 |
| Provider Name | Kathleen Marie Spriggs-ballestero |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568622090 PECOS PAC ID: 2567813272 Enrollment ID: I20240108000221 |
| Provider Name | Lacey Rachelle Burns |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497384804 PECOS PAC ID: 2466803887 Enrollment ID: I20240110003578 |
| Provider Name | Nadia Yousef Orme |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184921199 PECOS PAC ID: 7012350333 Enrollment ID: I20240202003395 |
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Healing Hopes, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1960 N Gateway Blvd, Fresno, CA 93727 Phone: 559-266-5200 Fax: 559-266-5201 | |
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Mcpeters Management & Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5066 N Fresno St Ste 103, Fresno, CA 93710 Phone: 559-228-9392 | |
The Reclaim Family Therapy Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 N Van Ness Blvd, Fresno, CA 93704 Phone: 559-549-3915 | |
Fresno County California Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 Van Ness Ave, Fresno, CA 93721 Phone: 559-488-1318 | |
Life Givers Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Collins Ave, Fresno, CA 93706 Phone: 559-237-0088 |