California Health Psychology Pc - Medicare Mental Health Clinic in Altadena, CA

California Health Psychology Pc is a medicare enrolled mental health clinic (Clinic/center - Adult Mental Health) in Altadena, California. The current practice location for California Health Psychology Pc is 3628 Giddings Ranch Rd, Altadena, California. For appointments, you can reach them via phone at (631) 786-9312. The mailing address for California Health Psychology Pc is 607 Foothill Boulevard, #754, La Canada, Flintridge, California and phone number is (646) 820-9652.

California Health Psychology Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1427621234. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (631) 786-9312.

Contact Information

California Health Psychology Pc
3628 Giddings Ranch Rd
Altadena
CA 91001-3827
(631) 786-9312
Not Available

Mental Health Clinic Profile

Full NameCalifornia Health Psychology Pc
SpecialityClinic/Center
Location3628 Giddings Ranch Rd, Altadena, California
Authorized Official Name and PositionShibani Ray-mazumder (DIRECTOR)
Authorized Official Contact6317869312
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
California Health Psychology Pc
607 Foothill Boulevard, #754
La Canada
Flintridge
CA 91011-3402

Ph: (646) 820-9652
California Health Psychology Pc
3628 Giddings Ranch Rd
Altadena
CA 91001-3827

Ph: (631) 786-9312

NPI Details:

NPI Number1427621234
Provider Enumeration Date07/20/2021
Last Update Date07/20/2021
Certification Date07/20/2021

Medicare PECOS Information:

Medicare PECOS PAC ID0840689105
Medicare Enrollment IDO20211109000195

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Medical Identifiers

Medical identifiers for California Health Psychology Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427621234NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. California Health Psychology Pc acts as a billing entity for following providers:
Provider NameShibani Ray Mazumder
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1134312572
PECOS PAC ID: 8527381185
Enrollment ID: I20211109000262

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