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CENTRAL COAST BEHAVIORAL HEALTH INC. NPI 1699112698


NPI Information

NPI: 1699112698
Provider Name: CENTRAL COAST BEHAVIORAL HEALTH, INC.

Former Legal Business Name: PEDRO D. GUIMARAES, M.D. INC.

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 05D2105018

Address:
1035 PEACH STREET
SUITE 201
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 540-0279
Get Directions

CENTRAL COAST BEHAVIORAL HEALTH, 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. CENTRAL COAST BEHAVIORAL HEALTH, INC. NPI is 1699112698. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Pedro D. Guimaraes, M.d. Inc..

The provider's business location address is:

1035 PEACH STREET
SUITE 201
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 540-0279
Fax: (805) 439-1070

The provider's authorized official is Pedro D. Guimaraes .
The authorized official title is Owner/medical Director and has the following contact phone number (805) 540-0279.

The CLIA number assigned to this NPI record is 05D2105018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2013 and was last updated on 9/29/2015.


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
1363LP0808XNurse PractitionerPsychiatric/Mental Health19126CALIFORNIANo
2106H00000XMarriage & Family Therapist53324CALIFORNIANo
3103TC0700XPsychologistClinicalPSY23877CALIFORNIANo
42084P0800XPsychiatry & NeurologyPsychiatryC52093CALIFORNIAYes

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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