PSYCHSHIELD CORPORATION (NPI# 1437358520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437358520 |
| Entity Type | Organization |
| Organization Name | PSYCHSHIELD CORPORATION |
| Other Organization Name | PSYCHSHIELD BEHAVIORAL HEALTHCARE |
| Practice Address |
4000 Long Beach Blvd Ste 212 Long Beach CA 90807-2617 |
| Mailing Address |
Po Box 250 Lakewood CA 90714-0250 |
| Practice Telephone | 5625957102 |
| Practice Fax Number | 5625959112 |
| Mailing Telephone | 5625957102 |
| Mailing Fax Number | 5625959112 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2009-01-16 |
| Authorized Official Name | DR. WILEY D SUTTON (CEO/PSYCHOTHERAPY PROVIDER) |
| Authorized Official Telephone | 5625957102 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PSY 4467 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CALIFORNIA | PHD 019 00 N | 01 |
| Other Name | Type Code |
|---|---|
| Psychshield Behavioral Healthcare | Doing Business As Name - Organization |
| Street Address |
4000 LONG BEACH BLVD STE 212 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992012512 | Choices of Long Beach, Inc. | Clinic/Center | 774 Saint Louis Ave, Long Beach, CA 90804-4557 | 2010-09-02 |
| 1184930471 | Choices of Long Beach, Inc. | Clinic/Center | 556 Nebraska Ave, Unit A, Long Beach, CA 90802-1823 | 2010-08-24 |
| 1881233575 | Beach Side Counseling Pllc | Clinic/Center | 811 Pacific Ave S Ste 7, Long Beach, WA 98631-3544 | 2019-12-30 |
| 1467992750 | Donna Ledet-willis | Clinic/Center | 4335 Atlantic Ave, Long Beach, CA 90807-2803 | 2017-03-06 |
| 1881064715 | Wellness Psychiatry High Impact Therapy | Clinic/Center | 3505 Long Beach Blvd, Suite 2d, Long Beach, CA 90807-3907 | 2015-10-05 |
| 1720395346 | Choices of Long Beach, Inc. | Clinic/Center | 556 Nebraska Ave, Unit B, Long Beach, CA 90802-1823 | 2010-09-02 |
| 1487863221 | Special Service for Groups | Clinic/Center | 3530 Atlantic Ave, Suite 210, Long Beach, CA 90807-4569 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365652 | Hearts for Sight Foundation | Clinic/Center | 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 | 2020-10-28 |
| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on PSYCHSHIELD CORPORATION.
| 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.