| Sal Psychiatry Services Pc | |
|
13132 Studebaker Rd Ste 10 Norwalk CA 90650-2576 | |
| (989) 475-2543 | |
| Not Available |
| Full Name | Sal Psychiatry Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 13132 Studebaker Rd Ste 10, Norwalk, California |
| Authorized Official Name and Position | Salisu Adejo Aikoye (OWNER) |
| Authorized Official Contact | 9894752543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sal Psychiatry Services Pc 13132 Studebaker Rd Ste 10 Norwalk CA 90650-2576 Ph: (562) 280-7176 | Sal Psychiatry Services Pc 13132 Studebaker Rd Ste 10 Norwalk CA 90650-2576 Ph: (989) 475-2543 |
| NPI Number | 1962028936 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Medicare PECOS PAC ID | 9335565506 |
|---|---|
| Medicare Enrollment ID | O20200818003587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962028936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Ajmal Mohammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700017712 PECOS PAC ID: 2365570504 Enrollment ID: I20100510000669 |
| Provider Name | Amaka L Anyaoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043439813 PECOS PAC ID: 8729205463 Enrollment ID: I20140804001845 |
| Provider Name | Gladelynn L Adlao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881012193 PECOS PAC ID: 5597982306 Enrollment ID: I20140818002203 |
| Provider Name | Katie C Mckay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093149064 PECOS PAC ID: 8426482720 Enrollment ID: I20200120000431 |
| Provider Name | Salisu A Aikoye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497173694 PECOS PAC ID: 2163744699 Enrollment ID: I20200623003097 |
| Provider Name | Xiaorong Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700450202 PECOS PAC ID: 1850789926 Enrollment ID: I20211201002861 |
| Provider Name | Shivalee M Dadhania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215525480 PECOS PAC ID: 5294128971 Enrollment ID: I20220201001059 |
| Provider Name | Stephanie R Nebo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255822334 PECOS PAC ID: 7315330289 Enrollment ID: I20220217001194 |
| Provider Name | Brittney Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396496477 PECOS PAC ID: 2668852005 Enrollment ID: I20220701002097 |
| Provider Name | Diane E Gibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932248531 PECOS PAC ID: 6406230374 Enrollment ID: I20220826002585 |
| Provider Name | Anthonia Ifeoma Udeh-okey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942739263 PECOS PAC ID: 8224403332 Enrollment ID: I20230403001843 |
| Provider Name | Carmen Shelbrack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063066348 PECOS PAC ID: 6507227550 Enrollment ID: I20230807003126 |
| Provider Name | Leah Vismanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508331737 PECOS PAC ID: 0648627737 Enrollment ID: I20231110002074 |
| Provider Name | April Johnson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386132710 PECOS PAC ID: 7911340856 Enrollment ID: I20240208001214 |
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