Healthy Young Minds California Pc is a
Psychologist - Clinical Child & Adolescent based in La Jolla, California. Healthy Young Minds California Pc is licensed to practice in * (Not Available) (license number ) and their current practice location is
7946 Ivanhoe Ave Ste 320, La Jolla, California. It can be reached at their office (for appointments etc.) via phone at
(303) 317-6504.
NPI number for Healthy Young Minds California Pc is 1962227009 and their current mailing address is Po Box 6080, Vail, Colorado. Healthy Young Minds California Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1962227009.
Healthcare Provider's Profile
| Full Name | Healthy Young Minds California Pc |
|---|
| Type | Facility |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 7946 Ivanhoe Ave Ste 320, La Jolla, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962227009
- Provider Enumeration Date: 11/21/2024
- Last Update Date: 11/21/2024
Medical Identifiers
Medical identifiers for Healthy Young Minds California Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962227009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 2080P0008X | Pediatrics - Neurodevelopmental Disabilities | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| 221700000X | Art Therapist | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Healthy Young Minds California Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Healthy Young Minds California Pc
Po Box 6080,
Vail, CO 81658-6080
Ph: (303) 317-6504 | Healthy Young Minds California Pc
7946 Ivanhoe Ave Ste 320,
La Jolla, CA 92037-4518
Ph: (303) 317-6504 |
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