SUPPORTIVE PSYCHOLOGICAL CARE NPI 1366787269

NPI Information

NPI: 1366787269
Provider Name: SUPPORTIVE PSYCHOLOGICAL CARE

Other Name: N/A

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
9267 GREENBACK LN
B98
ORANGEVALE, CA
ZIP 95662
Phone: (916) 505-9151
Get Directions

SUPPORTIVE PSYCHOLOGICAL CARE is an adult mental health clinic center in Orangevale, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SUPPORTIVE PSYCHOLOGICAL CARE NPI is 1366787269. The provider is registered as an organization entity type.
The provider Other Name Is N/a.

The provider's business location address is:

9267 GREENBACK LN
B98
ORANGEVALE, CA
ZIP 95662-863
Phone: (916) 505-9151
Fax: (916) 988-7864

The provider's authorized official is Cyrus Moazam .
The authorized official title is Owner and has the following contact phone number (916) 505-9151.

The enumeration date for this NPI number is 12/3/2012 and was last updated on 12/3/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	PSY13748	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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