| Lgtc Group | |
|
4850 Union Ave San Jose CA 95124-5156 | |
| (800) 913-2615 | |
| Not Available |
| Full Name | Lgtc Group |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4850 Union Ave, San Jose, California |
| Authorized Official Name and Position | Yevgeniy Tilman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8009132615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lgtc Group 4850 Union Ave San Jose CA 95124-5156 Ph: (800) 913-2615 | Lgtc Group 4850 Union Ave San Jose CA 95124-5156 Ph: (800) 913-2615 |
| NPI Number | 1881482941 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 10/02/2026 |
| Certification Date | 10/02/2026 |
| Medicare PECOS PAC ID | 0749795102 |
|---|---|
| Medicare Enrollment ID | O20250715000866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881482941 | NPI | - | NPPES |
| Provider Name | Tirath Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639260292 PECOS PAC ID: 6204723844 Enrollment ID: I20040301000110 |
| Provider Name | Bruce M Wermuth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629104617 PECOS PAC ID: 0749267540 Enrollment ID: I20040707000650 |
| Provider Name | Moeen Bhatti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205023736 PECOS PAC ID: 9830284611 Enrollment ID: I20071009000584 |
| Provider Name | Shamala Vasant Kanchan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245331495 PECOS PAC ID: 7214118041 Enrollment ID: I20110225000712 |
| Provider Name | Karthik Parasuraman Ramgopal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174899348 PECOS PAC ID: 3678890837 Enrollment ID: I20150326002302 |
| Provider Name | Jeremy J Kernion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902101678 PECOS PAC ID: 3779800677 Enrollment ID: I20150401002107 |
| Provider Name | Robin Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689824245 PECOS PAC ID: 7214227248 Enrollment ID: I20160603001230 |
| Provider Name | Rajan Gosain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013271600 PECOS PAC ID: 8426341033 Enrollment ID: I20161205002176 |
| Provider Name | Stephanne Pleshette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528091576 PECOS PAC ID: 0547276198 Enrollment ID: I20170623001312 |
| Provider Name | Ferhad Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831484930 PECOS PAC ID: 5395041685 Enrollment ID: I20180123003154 |
| Provider Name | Abel Morris Bumgarner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891061123 PECOS PAC ID: 2860791613 Enrollment ID: I20180219000892 |
| Provider Name | Mark Eric Hessenthaler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487776506 PECOS PAC ID: 1456441856 Enrollment ID: I20190828002028 |
| Provider Name | Nataly Sumarriva Beck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548672926 PECOS PAC ID: 8628361961 Enrollment ID: I20190903002989 |
| Provider Name | Cori Hanagami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598167967 PECOS PAC ID: 7416382783 Enrollment ID: I20200114002228 |
| Provider Name | Kristina B Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437276680 PECOS PAC ID: 9335579325 Enrollment ID: I20200414003450 |
| Provider Name | Srikanth Challagundla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902186737 PECOS PAC ID: 0446572796 Enrollment ID: I20221129001378 |
| Provider Name | Fides Isidro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427276013 PECOS PAC ID: 8325430937 Enrollment ID: I20240112003873 |
| Provider Name | Angela Hickenbottom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679886279 PECOS PAC ID: 5395184576 Enrollment ID: I20240420000257 |
| Provider Name | Karen Wachtel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225095532 PECOS PAC ID: 9638615883 Enrollment ID: I20240723004810 |
| Provider Name | Deatria Davis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659641835 PECOS PAC ID: 6901342153 Enrollment ID: I20240723004842 |
| Provider Name | Nupur Jain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477697449 PECOS PAC ID: 5698211738 Enrollment ID: I20240724003755 |
| Provider Name | Anoushka Tahaei |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285707620 PECOS PAC ID: 4385180454 Enrollment ID: I20240725000036 |
| Provider Name | D. Katherine Mckee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1457585986 PECOS PAC ID: 3274065073 Enrollment ID: I20241017003814 |
| Provider Name | Chandra Hoelsken |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942671953 PECOS PAC ID: 4688107139 Enrollment ID: I20241023001226 |
| Provider Name | Iouri Simonenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891956157 PECOS PAC ID: 0749430015 Enrollment ID: I20250724000249 |
| Provider Name | Neil Rajdev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497215586 PECOS PAC ID: 6305174731 Enrollment ID: I20250725003880 |
| Provider Name | Lakshmi Jagannathan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801514336 PECOS PAC ID: 1557844735 Enrollment ID: I20260316003011 |
N/a Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2625 Zanker Rd, 101, San Jose, CA 95134 Phone: 408-325-5230 Fax: 408-944-0468 |
Lauren Capano Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3970 The Woods Dr, Apt. 524, San Jose, CA 95136 Phone: 646-761-8982 |
Alum Rock Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 Kammerer Ave, San Jose, CA 95116 Phone: 408-928-8500 |
Abode Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Southwest Expy, San Jose, CA 95126 Phone: 510-270-1150 |
Pacific Clinics at Luther Burbank Elementary Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Wabash Ave, San Jose, CA 95128 Phone: 408-295-1814 |
Sondermind PC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6203 San Ignacio Ave Ste 110, San Jose, CA 95119 Phone: 844-843-7279 |