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PREMIUM MENTAL HEALTH SERVICES
NPI 1467533737
Family Medicine in Modesto, CA

Active since October 17, 2006
1130 COFFEE RD STE 10, MODESTO, CA 95355(209) 522-9054(209) 522-2631 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, May 9, 2024, Dec 14, 2023 and 1 more (4 updates tracked since 2023).

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

NPI1467533737
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Location Address1130 COFFEE RD STE 10Modesto, CA 95355-4228
Mailing Address1130 Coffee Rd Ste 10Modesto, CA 95355-4228 · (209) 522-9054 · Fax (209) 522-2631
Phone(209) 522-9054
Fax(209) 522-2631
Organization SubpartNo
Authorized OfficialMariela GutierrezClinic Supervisor · (209) 522-9054
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 13, 20244 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1467533737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
1130 COFFEE RD STE 10, Modesto, CA 95355
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Other Names 1

Doing Business AsPremium Mental Health Services

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

FIEL DONQUILA GAMAD FNP-C, PMHNP-BC
Nurse Practitioner (Family)
1130 COFFEE RD STE 10
MODESTO, CA 95355
Stanislaus County (559) 624-6090
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Clinic/Center (Urgent Care)
1130 COFFEE RD STE 10
MODESTO, CA 95355
Stanislaus County (209) 522-9054
MARICELLE LOPEZ GAMAD NP
Nurse Practitioner (Family)
1130 COFFEE RD STE 10
MODESTO, CA 95355
Stanislaus County (209) 522-9054
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Psychiatry & Neurology (Psychiatry)
1130 COFFEE RD STE 10
MODESTO, CA 95355
Stanislaus County (559) 495-8659

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.

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 23 months 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.