| Lomi Psychotherapy Clinic | |
|
320 10th St Ste 200 Santa Rosa CA 95401-5291 | |
| (707) 579-0465 | |
| (707) 579-0560 |
| Full Name | Lomi Psychotherapy Clinic |
|---|---|
| Speciality | Counselor |
| Location | 320 10th St Ste 200, Santa Rosa, California |
| Authorized Official Name and Position | Shannon D. Sweeney (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 7075790465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lomi Psychotherapy Clinic 320 10th St Ste 200 Santa Rosa CA 95401-5291 Ph: (707) 579-0465 | Lomi Psychotherapy Clinic 320 10th St Ste 200 Santa Rosa CA 95401-5291 Ph: (707) 579-0465 |
| NPI Number | 1437171543 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Medicare PECOS PAC ID | 0345131512 |
|---|---|
| Medicare Enrollment ID | O20040324001563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437171543 | NPI | - | NPPES |
| 61-31568 | Other | CA | UNITED HEALTHCARE SERVICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 306494090 (California) | Primary |
| Provider Name | Rhonda L Lindsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831245737 PECOS PAC ID: 8224264395 Enrollment ID: I20131119001519 |
| Provider Name | Cheryl L Nygard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336452853 PECOS PAC ID: 9537471990 Enrollment ID: I20150629001007 |
| Provider Name | Melissa Jane Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699158972 PECOS PAC ID: 3678991270 Enrollment ID: I20200922000491 |
| Provider Name | Lynn Theresa Carolin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659550978 PECOS PAC ID: 1355733445 Enrollment ID: I20220124000427 |
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