SUPPORTIVE PSYCHOLOGICAL CARE NPI 1366787269

NPI Information

  • NPI: 1366787269
  • Provider Name: SUPPORTIVE PSYCHOLOGICAL CARE
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Other Name: N/A
  • Address: 9267 GREENBACK LN
    B98
    ORANGEVALE, CA
    ZIP 95662
  • Phone: (916) 505-9151

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NPI Details

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
1261QM0850XClinic/CenterAdult Mental HealthPSY13748CALIFORNIAYes

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: 11/21/2025

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