| Joseph Beeney Ph D Psychologist Inc | |
|
650 N Main St Fort Bragg CA 95437-3220 | |
| (707) 421-8884 | |
| Not Available |
| Full Name | Joseph Beeney Ph D Psychologist Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 650 N Main St, Fort Bragg, California |
| Authorized Official Name and Position | Joseph Edward Beeney (PRESIDENT) |
| Authorized Official Contact | 7079725089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Beeney Ph D Psychologist Inc 720 N Harrison St Fort Bragg CA 95437-3125 Ph: (707) 421-8884 | Joseph Beeney Ph D Psychologist Inc 650 N Main St Fort Bragg CA 95437-3220 Ph: (707) 421-8884 |
| NPI Number | 1073228698 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Medicare PECOS PAC ID | 8022475789 |
|---|---|
| Medicare Enrollment ID | O20230612001369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073228698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Joseph Edward Beeney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588004709 PECOS PAC ID: 7416371638 Enrollment ID: I20230531003303 |
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