Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Aspen Family Medical Group of Modesto, Inc

Organization Psychiatry Physician · NPI 1689458051

Aspen Family Medical Group of Modesto, Inc provides Psychiatry Physician services in Modesto, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 Coffee Rd Ste 10
Modesto, CA 95355-4228
Phone: (559) 495-8659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1689458051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariela Gutierrez — Clinic Supervisor · (209) 522-9054
Other names Premium Mental Health Services
NPI enumeratedAugust 24, 2023
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address1130 Coffee Rd Ste 10, Modesto, CA 95355-4228

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