| Psychicure PC | |
|
2675 Pleasant Hill Rd Pleasant Hill CA 94523-2033 | |
| (925) 660-0109 | |
| Not Available |
| Full Name | Psychicure PC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2675 Pleasant Hill Rd, Pleasant Hill, California |
| Authorized Official Name and Position | David Birdsall (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychicure PC 2100 Powell St Ste 400 Emeryville CA 94608-1872 | Psychicure PC 2675 Pleasant Hill Rd Pleasant Hill CA 94523-2033 Ph: (925) 660-0109 |
| NPI Number | 1033088414 |
|---|---|
| Provider Enumeration Date | 11/03/2025 |
| Last Update Date | 09/09/2026 |
| Certification Date | 09/09/2026 |
| Medicare PECOS PAC ID | 2163909334 |
|---|---|
| Medicare Enrollment ID | O20260119000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033088414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| Provider Name | Karl Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669676524 PECOS PAC ID: 9739072653 Enrollment ID: I20040204001079 |
| Provider Name | Cindy M Le |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922145259 PECOS PAC ID: 7517045453 Enrollment ID: I20080417000656 |
| Provider Name | Craig L Beaty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194787507 PECOS PAC ID: 7416080064 Enrollment ID: I20100803000283 |
| Provider Name | Sharlena P Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720407901 PECOS PAC ID: 6103113576 Enrollment ID: I20160928002202 |
| Provider Name | Herbert J Harman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932195484 PECOS PAC ID: 3577566231 Enrollment ID: I20170501001168 |
| Provider Name | Roshanak Ramezani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346402443 PECOS PAC ID: 8820222193 Enrollment ID: I20170502002397 |
| Provider Name | Kenneth Granados |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225486251 PECOS PAC ID: 1254609241 Enrollment ID: I20170615001475 |
| Provider Name | Alex Chandler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497013288 PECOS PAC ID: 6507126026 Enrollment ID: I20180201001094 |
| Provider Name | Nasratullah Wahidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407264203 PECOS PAC ID: 1153602610 Enrollment ID: I20190219001152 |
| Provider Name | Michael Quiceno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720545858 PECOS PAC ID: 5991047821 Enrollment ID: I20190425001187 |
| Provider Name | Abishek P Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952718652 PECOS PAC ID: 6103107289 Enrollment ID: I20200821002188 |
| Provider Name | Jaimini Chauhan-james |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700152618 PECOS PAC ID: 8729388798 Enrollment ID: I20210608001431 |
| Provider Name | Miguel Angel Acuna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447613336 PECOS PAC ID: 9335531771 Enrollment ID: I20220117000600 |
| Provider Name | Nicole Genevieve Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083936660 PECOS PAC ID: 7416341177 Enrollment ID: I20220223002612 |
| Provider Name | Seamus Lucien Connolly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932648599 PECOS PAC ID: 9739575481 Enrollment ID: I20220405001684 |
| Provider Name | Naweed Hayat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043771710 PECOS PAC ID: 5496124497 Enrollment ID: I20221214001666 |
| Provider Name | Michael Hany Salib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356723134 PECOS PAC ID: 0840673547 Enrollment ID: I20240627003642 |
| Provider Name | Cecilia Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801367081 PECOS PAC ID: 9032634852 Enrollment ID: I20250710004244 |
| Provider Name | Carina Lopez Chhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932868585 PECOS PAC ID: 5991294704 Enrollment ID: I20251031000662 |
| Provider Name | Helder Filipe Cruz Araujo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972132280 PECOS PAC ID: 6204259062 Enrollment ID: I20251210003241 |
| Provider Name | Desiree Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609743681 PECOS PAC ID: 4082108642 Enrollment ID: I20251210003896 |
| Provider Name | Paige N Judge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619856721 PECOS PAC ID: 6901391846 Enrollment ID: I20251218002351 |
| Provider Name | MC Michael Balsamo Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073490108 PECOS PAC ID: 8921594128 Enrollment ID: I20251226000343 |
| Provider Name | Ijeoma Akwarandu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063389443 PECOS PAC ID: 8921594102 Enrollment ID: I20251226002254 |
| Provider Name | Destiny Alyssa Alzate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992261929 PECOS PAC ID: 7214423706 Enrollment ID: I20260105002731 |
| Provider Name | Naomi Sianturi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083218903 PECOS PAC ID: 9133605801 Enrollment ID: I20260113000415 |
| Provider Name | Tammy Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447983572 PECOS PAC ID: 0648759936 Enrollment ID: I20260206002645 |
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