PREMIUM MENTAL HEALTH SERVICES
NPI 1689458051
Psychiatry & Neurology - Psychiatry in Modesto, CA

NPI Status: Active since August 24, 2023

Contact Information

1130 COFFEE RD STE 10
MODESTO, CA
ZIP 95355
Phone: (559) 495-8659

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About PREMIUM MENTAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Premium Mental Health Services, a provider established in Modesto, California operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1689458051 assigned on August 2023. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated one year ago. Premium Mental Health Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Premium Mental Health Services. The authorized official of this NPI record is Mariela Gutierrez Medical Assistant (Clinic Supervisor)

NPI
1689458051
Provider Legal Name
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Other Organization Name
PREMIUM MENTAL HEALTH SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1130 COFFEE RD STE 10 MODESTO, CA 95355
Location Phone
(559) 495-8659
Mailing Address
1130 COFFEE RD STE 10 MODESTO, CA 95355
Mailing Phone
(209) 522-9054
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2023
Last Update Date
08-09-2024
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A psychiatrist like Premium Mental Health Services are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARIELA GUTIERREZ MEDICAL ASSISTANT

Authorized Official Title
CLINIC SUPERVISOR
Authorized Official Phone
(209) 522-9054

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689458051
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261698516010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 8 + 5 + 1 + 6 + 0 + 1 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1689458051 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

FIEL DONQUILA GAMAD FNP-C, PMHNP-BC

Nurse Practitioner

(Family)

1130 COFFEE RD STE 10
MODESTO, CA
ZIP 95355

(559) 624-6090

ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.

Clinic/Center

(Urgent Care)

1130 COFFEE RD STE 10
MODESTO, CA
ZIP 95355

(209) 522-9054

MARICELLE LOPEZ GAMAD NP

Nurse Practitioner

(Family)

1130 COFFEE RD STE 10
MODESTO, CA
ZIP 95355

(209) 522-9054

ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.

Family Medicine

1130 COFFEE RD STE 10
MODESTO, CA
ZIP 95355

(209) 522-9054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689458051, enumerated as an "organization" on August 24, 2023.

The provider is located at 1130 COFFEE RD STE 10 MODESTO, CA 95355 and the phone number is (559) 495-8659.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.