PREMIUM MENTAL HEALTH SERVICES
NPI 1467533737
Family Medicine in Modesto, CA
About Premium Mental Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIUM MENTAL HEALTH SERVICES (NPI 1467533737) is a healthcare organization registered as a family medicine in Modesto, California and active in the NPI registry since October 2006. The organization lists Mariela Gutierrez, Clinic Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premium Mental Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Premium Mental Health Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Aspen Family Medical Group Of Modesto, Inc.'s NPI number?
The NPI number for Aspen Family Medical Group Of Modesto, Inc. is 1467533737. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Premium Mental Health Services.
Where is Aspen Family Medical Group Of Modesto, Inc. located?
Aspen Family Medical Group Of Modesto, Inc. is located at 1130 Coffee Rd Ste 10, Modesto, CA 95355. The listed phone number is (209) 522-9054.
What is Aspen Family Medical Group Of Modesto, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Aspen Family Medical Group Of Modesto, Inc. enrolled in Medicare?
Yes. Aspen Family Medical Group Of Modesto, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aspen Family Medical Group Of Modesto, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Aspen Family Medical Group Of Modesto, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Psychiatry (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Aspen Family Medical Group Of Modesto, Inc. was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Premium Mental Health Services · NPI 1467533737
Family Medicine organization in Modesto, California. Organization record, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1467533737 (Entity type: Organization)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Aspen Family Medical Group Of Modesto, Inc.
- **Organization subpart:** No
- **Authorized official:** Mariela Gutierrez, CLINIC SUPERVISOR
## Practice location
- **Address:** 1130 COFFEE RD STE 10, Modesto, CA 95355-4228
- **Phone:** (209) 522-9054 · **Fax:** (209) 522-2631
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2), Psychiatry (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467533737) · Data from the CMS NPPES public registry.