| Support for Your Life | |
|
1111 High St Ste B Auburn CA 95603-5151 | |
| (530) 500-5885 | |
| Not Available |
| Full Name | Support for Your Life |
|---|---|
| Speciality | Psychologist |
| Location | 1111 High St Ste B, Auburn, California |
| Authorized Official Name and Position | Kristin Lyn Kaminski (DIRECTOR) |
| Authorized Official Contact | 5305005885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Support for Your Life 1111 High St Ste B Auburn CA 95603-5151 Ph: (530) 500-5885 | Support for Your Life 1111 High St Ste B Auburn CA 95603-5151 Ph: (530) 500-5885 |
| NPI Number | 1255034203 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 08/17/2026 |
| Certification Date | 08/17/2026 |
| Medicare PECOS PAC ID | 9638518467 |
|---|---|
| Medicare Enrollment ID | O20240412002792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255034203 | NPI | - | NPPES |
| 1245779552 | Other | NPI |
| Provider Name | Amy Gossett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629597208 PECOS PAC ID: 7012279367 Enrollment ID: I20180326001509 |
| Provider Name | Kristin Lyn Kaminski-wadle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245779552 PECOS PAC ID: 2961736244 Enrollment ID: I20190619002788 |
| Provider Name | Maria Taheny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386095263 PECOS PAC ID: 7618470956 Enrollment ID: I20250911004477 |
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