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PACIFIC PSYCHIATRY INC. NPI 1164615910


NPI Information

NPI: 1164615910
Provider Name: PACIFIC PSYCHIATRY INC.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
3220 S HIGUERA ST
SUITE 215
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 541-5055
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PACIFIC PSYCHIATRY INC. is a psychiatry psychiatry neurology in San Luis Obispo, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PACIFIC PSYCHIATRY INC. NPI is 1164615910. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3220 S HIGUERA ST
SUITE 215
SAN LUIS OBISPO, CA
ZIP 93401-987
Phone: (805) 541-5055
Fax: (805) 541-5075

The provider's authorized official is John Michael Rivard .
The authorized official title is President and has the following contact phone number (805) 541-5055.

The enumeration date for this NPI number is 8/24/2007 and was last updated on 8/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryC2754748CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C2754748OTHERCALIFORNIACORP RESGISTRATION #
2FNP33987OTHERCALIFORNIAFICITITOUS NAME PERMIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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