PSYCHSHIELD CORPORATION NPI 1437358520

NPI Information

NPI: 1437358520
Provider Name: PSYCHSHIELD CORPORATION

Doing Business As: PSYCHSHIELD BEHAVIORAL HEALTHCARE

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

Specialization: Adult Mental Health

Address:
4000 LONG BEACH BLVD STE 212
LONG BEACH, CA
ZIP 90807
Phone: (562) 595-7102
Get Directions

PSYCHSHIELD CORPORATION is an adult mental health clinic center in Long Beach, 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. PSYCHSHIELD CORPORATION NPI is 1437358520. The provider is registered as an organization entity type.
The provider Is Doing Business As Psychshield Behavioral Healthcare.

The provider's business location address is:

4000 LONG BEACH BLVD STE 212
LONG BEACH, CA
ZIP 90807-617
Phone: (562) 595-7102
Fax: (562) 595-9112

The provider's authorized official is Wiley D Sutton .
The authorized official title is Ceo/psychotherapy Provider and has the following contact phone number (562) 595-7102.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 1/16/2009.

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	PSY 4467	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PHD 019 00 N	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA

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

NPI Synchronization or Removal

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