| Pacific Psychiatry Inc., A Professional Medical Corporation | |
|
1304 Ella St Ste B San Luis Obispo CA 93401-4166 | |
| (805) 541-6000 | |
| (805) 541-6001 |
| Full Name | Pacific Psychiatry Inc., A Professional Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1304 Ella St Ste B, San Luis Obispo, California |
| Authorized Official Name and Position | Douglas Murphy (OWNER) |
| Authorized Official Contact | 8055416000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Psychiatry Inc., A Professional Medical Corporation 1304 Ella St Ste B San Luis Obispo CA 93401-4166 Ph: (805) 541-6000 | Pacific Psychiatry Inc., A Professional Medical Corporation 1304 Ella St Ste B San Luis Obispo CA 93401-4166 Ph: (805) 541-6000 |
| NPI Number | 1902317472 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Medicare PECOS PAC ID | 2769749597 |
|---|---|
| Medicare Enrollment ID | O20171201002072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902317472 | NPI | - | NPPES |
| Provider Name | Jean J Dansereau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568414712 PECOS PAC ID: 6103805684 Enrollment ID: I20040717000405 |
| Provider Name | Douglas P Murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700953734 PECOS PAC ID: 2860413085 Enrollment ID: I20051214000961 |
| Provider Name | Johanna Powden Golston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720146772 PECOS PAC ID: 9931239399 Enrollment ID: I20100610000779 |
| Provider Name | Richard I Altesman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730292350 PECOS PAC ID: 3577752575 Enrollment ID: I20180509001872 |
| Provider Name | Douglas Logan Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386240844 PECOS PAC ID: 6103230479 Enrollment ID: I20210127002643 |
| Provider Name | Edward Valkov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043283955 PECOS PAC ID: 4183682008 Enrollment ID: I20211203001413 |
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County Of San Luis Obispo Drug And Alcohol Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2945 Mcmillan Ave, Ste. 136, San Luis Obispo, CA 93401 Phone: 805-781-4275 | |
Transitions - Mental Health Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 277 South St, Suite Y, San Luis Obispo, CA 93401 Phone: 805-541-5144 Fax: 805-541-9480 | |
Trauma Healing Center Marriage And Family Therapy Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Marsh St Ste 201, San Luis Obispo, CA 93401 Phone: 805-703-8870 | |
The Bauman Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1368 Marsh St, San Luis Obispo, CA 93401 Phone: 805-540-7060 Fax: 805-540-7063 | |
County Of San Luis Obispo Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2494 Pennington Creek Rd, San Luis Obispo, CA 93405 Phone: 805-781-4700 |