NATIVE AMERICAN MENTAL HEALTH SERVICES CORPORATION (NPI# 1417508755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417508755 |
| Entity Type | Organization |
| Organization Name | NATIVE AMERICAN MENTAL HEALTH SERVICES CORPORATION |
| Other Organization Name | NORTH AMERICAN MENTAL HEALTH SERVICES |
| Practice Address |
1620 Pennsylvania Ave Ste E Fairfield CA 94533-3551 |
| Mailing Address |
1742 Oregon St Redding CA 96001-1717 |
| Practice Telephone | 7074394039 |
| Practice Fax Number | 7074394035 |
| Mailing Telephone | 5302267419 |
| Mailing Fax Number | 5302249433 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | BENTON C KINNEY (OWNER/CFO) |
| Authorized Official Telephone | 5302267419 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North American Mental Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545429 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 434 7th St Ste B, Eureka, CA 95501-1803 | 2019-08-27 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| 1255703716 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 255 W Court St, Suite D, Woodland, CA 95695-2986 | 2015-10-23 |
| Street Address |
1620 PENNSYLVANIA AVE STE E |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275948887 | Fairfield Psychiatry,llc | Psychiatry & Neurology | 60 Thorpe St Fl 2, Fairfield, Fairfield, CT 06824-5725 | 2014-06-23 |
| 1437492881 | Ryan Patrick Schmidtz | Psychiatry & Neurology | 1248 Nilles Rd Ste 8, Fairfield, OH 45014-2781 | 2013-04-04 |
| 1841569936 | Chautauqua Clinic | Psychiatry & Neurology | 2709 W Briggs Ave Ste 4, Fairfield, IA 52556-2649 | 2011-12-20 |
| 1669694857 | Brian Halevie-goldman | Psychiatry & Neurology | 350 Chadbourne Rd, Fairfield, CA 94534-9636 | 2007-05-03 |
| 1336278043 | Jenifer A. Nields | Psychiatry & Neurology | 108 Old Orchard Park, Fairfield, CT 06824-6606 | 2007-03-06 |
| 1114065125 | Tara Kerner | Psychiatry & Neurology | 39 Sherman Ct, Fairfield, CT 06824-5825 | 2007-02-02 |
| 1114089687 | Deborah Lipschitz | Psychiatry & Neurology | 21 Sherman Ct, Fairfield, CT 06824-5825 | 2006-12-14 |
| 1487716718 | Lester R Ryan | Psychiatry & Neurology | 3291 Inwood Pl, Fairfield, CA 94534-8332 | 2006-12-14 |
| 1629147533 | Artoteles L Tandinco | Psychiatry & Neurology | 3393 Pebble Beach Ct, Fairfield, CA 94534-8308 | 2006-11-06 |
| 1184700122 | Neayka Sahay | Psychiatry & Neurology | 163 Oldfield Rd, Fairfield, CT 06824-6687 | 2006-10-31 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.