| Mono County Behavioral Health | |
|
1290 Tavern Road Mammoth Lakes CA 93546 | |
| (760) 924-1740 | |
| (760) 924-1741 |
| Full Name | Mono County Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1290 Tavern Road, Mammoth Lakes, California |
| Authorized Official Name and Position | Robin K. Roberts (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 7609241729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mono County Behavioral Health P.o. Box 2619 Mammoth Lakes CA 93546 Ph: (760) 924-1740 | Mono County Behavioral Health 1290 Tavern Road Mammoth Lakes CA 93546 Ph: (760) 924-1740 |
| NPI Number | 1538266911 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 06/12/2022 |
| Certification Date | 06/12/2022 |
| Medicare PECOS PAC ID | 8527045665 |
|---|---|
| Medicare Enrollment ID | O20120420000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538266911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Harjot Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013944164 PECOS PAC ID: 7810884103 Enrollment ID: I20060823000252 |
| Provider Name | Zachary A Sharman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578500658 PECOS PAC ID: 1254435761 Enrollment ID: I20070322000261 |
Daniel Ranson, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 272 Sierra Manor, Suite B1, Mammoth Lakes, CA 93546 Phone: 760-586-7746 | |
Mono County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 452 Old Mammoth Rd Suite 304, Mammoth Lakes, CA 93546 Phone: 760-924-1740 | |
Mono County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1290 Tavern Road, Mammoth Lakes, CA 93546 Phone: 760-924-1740 Fax: 760-924-1741 |