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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VERICARE OF CALIFORNIA MEDICAL GROUP

Deactivated Organization

VERICARE OF CALIFORNIA MEDICAL GROUP is a Clinical Psychologist organization located in SAN RAFAEL, California. NPI 1528011764 is deactivated in the NPPES registry. Verify at CMS.

Clinical Psychologist · SAN RAFAEL, CA

This NPI has been deactivated. The record was deactivated on April 11, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1528011764
Provider Type
Organization
NPI Issued
May 18, 2006 (0.8986301369863 yrs)
Last Updated
Dec 21, 2009
Deactivated
Apr 11, 2007

Practice Information

Address
81 PROFESSIONAL CTR PKWY
SAN RAFAEL, CA, 949032797
Browse CA providers · Browse ZIP 94903
Phone
8002578715
Fax
8008191655
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Psychiatry
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Organizations in SAN RAFAEL, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.