N/A
NPI 1366787269
Clinic/Center - Adult Mental Health in Orangevale, CA

Active since December 03, 2012
9267 GREENBACK LN, B98, ORANGEVALE, CA 95662(916) 505-9151(916) 988-7864 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About N/a NPPES

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

N/A (NPI 1366787269) is a healthcare organization registered as an adult mental health in Orangevale, California and active in the NPI registry since December 2012. The organization lists Cyrus Moazam, Owner, as its authorized official.

NPPES Registry Identity

NPI1366787269
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSUPPORTIVE PSYCHOLOGICAL CARE
Location Address9267 GREENBACK LN, B98Orangevale, CA 95662-4863
Mailing Address9267 Greenback Ln, B-98Orangevale, CA 95662-4863 · (916) 505-9151 · Fax (916) 988-7864
Fax(916) 988-7864
Organization SubpartNo
Authorized OfficialCyrus MoazamOwner · (916) 505-9151
Enumeration DateDecember 3, 2012
NPI 1366787269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License Licensed in CA · PSY13748
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
9267 GREENBACK LN, Orangevale, CA 95662

Other Providers at the Same Location NPPES 10

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

Psychologist (Clinical)
9267 GREENBACK LN, #B98
ORANGEVALE, CA 95662
Home Health
9267 GREENBACK LN, SUITE B-1
ORANGEVALE, CA 95662
Physical Therapist
9267 GREENBACK LN
ORANGEVALE, CA 95662
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
9267 GREENBACK LN, STE A2
ORANGEVALE, CA 95662
Psychologist
9267 GREENBACK LN, SUITE B-98
ORANGEVALE, CA 95662
Physical Therapist
9267 GREENBACK LN, SUITE C-2
ORANGEVALE, CA 95662
Psychologist (Cognitive & Behavioral)
9267 GREENBACK LN, B-98
ORANGEVALE, CA 95662
Clinic/Center (Primary Care)
9267 GREENBACK LN, SUITE C2
ORANGEVALE, CA 95662

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 Supportive Psychological Care's NPI number?

The NPI number for Supportive Psychological Care is 1366787269. It was assigned to this organization in the NPPES registry on December 3, 2012.

Where is Supportive Psychological Care located?

Supportive Psychological Care is located at 9267 Greenback Ln B98, Orangevale, CA 95662. The listed phone number is (916) 505-9151.

What is Supportive Psychological Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Supportive Psychological Care was last updated on December 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.