| Vantage Point Center For Psychotherapy | |
|
1011 22nd St Sacramento CA 95816-4907 | |
| (916) 284-1416 | |
| Not Available |
| Full Name | Vantage Point Center For Psychotherapy |
|---|---|
| Speciality | Counselor |
| Location | 1011 22nd St, Sacramento, California |
| Authorized Official Name and Position | Katie Sarah Polsky (OWNER) |
| Authorized Official Contact | 9162841416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Point Center For Psychotherapy 1011 22nd St Ste 10 Sacramento CA 95816-4907 Ph: (916) 284-1416 | Vantage Point Center For Psychotherapy 1011 22nd St Sacramento CA 95816-4907 Ph: (916) 284-1416 |
| NPI Number | 1326417056 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 0749518140 |
|---|---|
| Medicare Enrollment ID | O20190822003627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326417056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (California) | Primary |
| Provider Name | Chelsea Mackey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073716940 PECOS PAC ID: 7012158942 Enrollment ID: I20130718000599 |
| Provider Name | Gretchen F Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861543704 PECOS PAC ID: 5799097275 Enrollment ID: I20150713000821 |
| Provider Name | Katie Sarah Polsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174843924 PECOS PAC ID: 1658609052 Enrollment ID: I20190822003938 |
| Provider Name | Karen Anne Miller Sperber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326174947 PECOS PAC ID: 9032571310 Enrollment ID: I20230817004082 |
| Provider Name | Eileen Sheehy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720782162 PECOS PAC ID: 7618323379 Enrollment ID: I20231218002767 |
| Provider Name | Katrina La Mar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336866318 PECOS PAC ID: 0941651863 Enrollment ID: I20240104003544 |
| Provider Name | Larry Wasson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487188611 PECOS PAC ID: 0446695506 Enrollment ID: I20240228001864 |
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