| Nierika House | |
|
1959/67 Solano Way Concord CA 94520 | |
| (925) 676-9768 | |
| (925) 676-9837 |
| Full Name | Nierika House |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1959/67 Solano Way, Concord, California |
| Authorized Official Name and Position | Stephen Hahn-smith (VP OF QUALITY MANAGEMENT) |
| Authorized Official Contact | 9258254700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nierika House 3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 Ph: (925) 825-4700 | Nierika House 1959/67 Solano Way Concord CA 94520 Ph: (925) 676-9768 |
| NPI Number | 1831214741 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 07/03/2018 |
| Medicare PECOS PAC ID | 7517115850 |
|---|---|
| Medicare Enrollment ID | O20150226001785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831214741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071441023 (California) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Daniel D Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033267166 PECOS PAC ID: 8022909860 Enrollment ID: I20040823000722 |
| Provider Name | Carey M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992760714 PECOS PAC ID: 3971538489 Enrollment ID: I20051004000511 |
| Provider Name | Simret Nanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457518425 PECOS PAC ID: 2365517554 Enrollment ID: I20091116000260 |
| Provider Name | Shayne A Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952588709 PECOS PAC ID: 2769612282 Enrollment ID: I20140303000729 |
| Provider Name | Nzinga Ajabu Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518099910 PECOS PAC ID: 5698793875 Enrollment ID: I20150314000374 |
| Provider Name | Ashley Cyronak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639542749 PECOS PAC ID: 7911204870 Enrollment ID: I20160321002567 |
| Provider Name | Alice Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184769341 PECOS PAC ID: 2668618208 Enrollment ID: I20170126002572 |
| Provider Name | Astra Maestas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467850776 PECOS PAC ID: 8123303310 Enrollment ID: I20170330002638 |
| Provider Name | Ruth Mondolfi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568704641 PECOS PAC ID: 1456626266 Enrollment ID: I20171004002275 |
| Provider Name | Anne K Retzlaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942377478 PECOS PAC ID: 4880731413 Enrollment ID: I20171017003606 |
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