PACHAMAMA THERAPY COLLECTIVE, A PSYCHOLOGICAL PC - NPI 1255070454

Q: What is Pachamama Therapy Collective, A Psychological PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Pachamama Therapy Collective, A Psychological Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACHAMAMA THERAPY COLLECTIVE, A PSYCHOLOGICAL PC (NPI 1255070454) is a healthcare organization registered as a clinical in Sacramento, California and active in the NPI registry since June 2022. The organization lists Ivonne Mejia, Owner/clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1255070454

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePACHAMAMA THERAPY COLLECTIVE, A PSYCHOLOGICAL PC

Location Address2011 P ST STE 106Sacramento, CA 95811-5225

Mailing Address2958 Riverside BlvdSacramento, CA 95818-3762

Phone(916) 287-1625

Organization SubpartNo

Authorized OfficialIvonne MejiaOwner/clinical Psychologist · (916) 287-1625

Enumeration DateJune 3, 2022

NPPES CertifiedJune 3, 2022

✔ NPI 1255070454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · ForensicTaxonomy 103TF0200X

2011 P ST STE 106, Sacramento, CA 95811

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IVONNE MILAGROS MEJIA PSY.D.

Psychologist (Clinical)

2011 P ST STE 106
SACRAMENTO, CA 95811

Sacramento County (916) 287-1625

TAYLOR ZAVALA ASW, PPSC

Social Worker

2011 P ST STE 106
SACRAMENTO, CA 95811

Sacramento County (916) 287-1625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pachamama Therapy Collective, A Psychological PC's NPI number?

The NPI number for Pachamama Therapy Collective, A Psychological PC is 1255070454. It was assigned to this organization in the NPPES registry on June 3, 2022.

Where is Pachamama Therapy Collective, A Psychological PC located?

Pachamama Therapy Collective, A Psychological PC is located at 2011 P St Ste 106, Sacramento, CA 95811. The listed phone number is (916) 287-1625.

What is Pachamama Therapy Collective, A Psychological PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Pachamama Therapy Collective, A Psychological PC was last updated on June 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.