| Ipsychological PC | |
|
5701 Lonetree Blvd Ste 216 Rocklin CA 95765-3795 | |
| (916) 906-4856 | |
| (231) 660-8531 |
| Full Name | Ipsychological PC |
|---|---|
| Speciality | Psychologist |
| Location | 5701 Lonetree Blvd Ste 216, Rocklin, California |
| Authorized Official Name and Position | Elijah S Meeker (OWNER) |
| Authorized Official Contact | 9169754358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ipsychological PC 6904 Main Ave Orangevale CA 95662-3621 Ph: (916) 975-4358 | Ipsychological PC 5701 Lonetree Blvd Ste 216 Rocklin CA 95765-3795 Ph: (916) 906-4856 |
| NPI Number | 1043860661 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 03/01/2026 |
| Certification Date | 03/01/2026 |
| Medicare PECOS PAC ID | 0143652032 |
|---|---|
| Medicare Enrollment ID | O20191114001638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043860661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | () | Primary |
| Provider Name | Elijah Meeker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225568306 PECOS PAC ID: 5799020574 Enrollment ID: I20181226000549 |
| Provider Name | Amanda Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265182836 PECOS PAC ID: 2365918604 Enrollment ID: I20260415002034 |
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