| North Bay Psychology | |
|
1763 2nd St Napa CA 94559-2407 | |
| (707) 556-2356 | |
| (707) 256-3553 |
| Full Name | North Bay Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 1763 2nd St, Napa, California |
| Authorized Official Name and Position | Pamela Meghan Tiedemann-fuller (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7075562356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Bay Psychology Po Box 5524 Napa CA 94581-0524 Ph: (707) 556-2356 | North Bay Psychology 1763 2nd St Napa CA 94559-2407 Ph: (707) 556-2356 |
| NPI Number | 1740556489 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Medicare PECOS PAC ID | 1254593353 |
|---|---|
| Medicare Enrollment ID | O20120508000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740556489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY23513 (California) | Primary |
| Provider Name | Pamela M Tiedemann-fuller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922186949 PECOS PAC ID: 6709048812 Enrollment ID: I20120508000230 |
Aldea, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 1st St, Napa, CA 94559 Phone: 707-224-8266 | |
Napa County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2344 Old Sonoma Rd Bldg D, Napa, CA 94559 Phone: 707-253-4785 | |
The Loyd Wolfe Juvenile Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 1st St, Napa, CA 94559 Phone: 707-255-1855 | |
Napa County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2344 Old Sonoma Rd, Napa, CA 94559 Phone: 707-253-4063 | |
Napa County Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hartle Ct, Napa, CA 94559 Phone: 707-253-6100 | |
Vintage High School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Oak St, Napa, CA 94559 Phone: 707-255-1855 Fax: 707-255-5621 | |
Napa County Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 4th St, Napa, CA 94559 Phone: 707-253-4063 |