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

Q: What is Aspen Family Medical Group Of Modesto, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since August 24, 2023

1130 COFFEE RD STE 10, MODESTO, CA 95355(559) 495-8659 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2024, May 2, 2024, Dec 14, 2023 and 1 more (4 updates tracked since 2023).

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About Premium Mental Health Services NPPES

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

PREMIUM MENTAL HEALTH SERVICES (NPI 1689458051) is a healthcare organization registered as a psychiatry in Modesto, California and active in the NPI registry since August 2023. The organization lists Mariela Gutierrez, Clinic Supervisor, as its authorized official.

NPPES Registry Identity

NPI1689458051

Entity TypeOrganization

Primary Taxonomy2084P0800X

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

Phone(559) 495-8659

Organization SubpartNo

Authorized OfficialMariela GutierrezClinic Supervisor · (209) 522-9054

Enumeration DateAugust 24, 2023

Last NPPES UpdateAugust 9, 20244 updates tracked since enumeration

NPPES CertifiedAugust 9, 2024

✔ NPI 1689458051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

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.

1130 COFFEE RD STE 10, Modesto, CA 95355

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Other Names 1

Doing Business AsPremium Mental Health Services

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 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.

Family Medicine

1130 COFFEE RD STE 10
MODESTO, CA 95355

Stanislaus County (209) 522-9054

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

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 1689458051. It was assigned to this organization in the NPPES registry on August 24, 2023. 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 (559) 495-8659.

What is Aspen Family Medical Group Of Modesto, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Aspen Family Medical Group Of Modesto, Inc. was last updated on August 9, 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.