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VERICARE OF CALIFORNIA MEDICAL GROUP NPI 1194779439


NPI Information

NPI: 1194779439
Provider Name: VERICARE OF CALIFORNIA MEDICAL GROUP

Other Name: VERICARE

Classification: Psychologist - 103TC1900X
Entity Type: Organization

Specialization: Counseling

Address:
2501 ALVIN AVE
SAN JOSE, CA
ZIP 95121
Phone: (800) 257-8715
Get Directions

VERICARE OF CALIFORNIA MEDICAL GROUP is a counseling psychologist in San Jose, CA. The provider is a psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms. VERICARE OF CALIFORNIA MEDICAL GROUP NPI is 1194779439. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Vericare.

The provider's business location address is:

2501 ALVIN AVE
SAN JOSE, CA
ZIP 95121-660
Phone: (800) 257-8715
Fax: (800) 819-1655

The provider's authorized official is Melissa King .
The authorized official title is Director, Credentialing Enrollment and has the following contact phone number (800) 370-3651.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 7/11/2017.


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
11041C0700XSocial WorkerClinicalCALIFORNIANo
22084P0800XPsychiatry & NeurologyPsychiatryCALIFORNIANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthCALIFORNIANo
4364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthCALIFORNIANo
5103TC1900XPsychologistCounselingCALIFORNIAYes

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
1CC7816OTHERCALIFORNIARAILROAD MEDICARE
2GPS000150MEDICAIDCALIFORNIA
3ZZZ14183ZMEDICARE PIN

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: 4/28/2024

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