| Kaiser Permanente | |
|
1761 Broadway St Ste 100 Vallejo CA 94589-2227 | |
| (707) 645-2700 | |
| (707) 645-2181 |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1761 Broadway St Ste 100, Vallejo, California |
| Authorized Official Name and Position | Roger Spence (MANAGER) |
| Authorized Official Contact | 7076452700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente 1761 Broadway St Ste 100 Vallejo CA 94589-2227 Ph: (707) 645-2700 | Kaiser Permanente 1761 Broadway St Ste 100 Vallejo CA 94589-2227 Ph: (707) 645-2700 |
| NPI Number | 1881923456 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 12/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881923456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 25635 (California) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 25635 (California) | Primary |
Velasco Family Counseling And Therapy Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Georgia St Ste 125, Vallejo, CA 94590 Phone: 707-334-2607 | |
Ujima Family Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Georgia Street, Vallejo, CA 94590 Phone: 707-558-8500 Fax: 707-558-8508 | |
Integrated Neurology & Pain Management, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 155 Glen Cove Marina Rd E Ste 100, Vallejo, CA 94591 Phone: 707-980-6257 Fax: 707-980-6692 | |
Early Childhood Mental Health Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1726 Sonoma Blvd, Vallejo, CA 94590 Phone: 707-810-0098 | |
Andrea Mace Licensed Educational Psychologist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Cliff Walk Dr, Vallejo, CA 94591 Phone: 510-589-4950 | |
Youth And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Tennessee St, Vallejo, CA 94590 Phone: 707-647-1520 | |
Caminar Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Tuolumne Street, Vallejo, CA 94590 Phone: 707-648-8121 Fax: 707-648-8129 |