Department of State Hospitals
Department of State Hospitals provides Forensic Psychologist services in Patton, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 6
Practice location Address checks out
3102 E Highland AvePatton, CA 92369-7813
Phone: (909) 425-7552
Fax: (909) 425-6407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Hospital (primary) | Taxonomy 283Q00000X · Licence 170000831 (CA) |
|---|---|
| Forensic Psychologist | Taxonomy 103TF0200X · Licence 170000831 (CA) |
| General Acute Care Hospital | Taxonomy 282N00000X · Licence 170000831 (CA) |
| Mental Illness Intermediate Care Facility | Taxonomy 310500000X · Licence 170000831 (CA) |
| Pharmacy | Taxonomy 333600000X · Licence 170000831 (CA) |
| Long Term Care Pharmacy | Taxonomy 3336L0003X · Licence 170000831 (CA) |
Record details
| NPI number | 1043249204 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Department of State Hospitals |
| Authorized official | Guadalupe Alonzo-Diaz — Administrative Deputy Director · (916) 654-2655 |
| Other names | Department Of State Hospitals - Patton; Department Of State Hospitals - Patton |
| NPI enumerated | July 1, 2006 |
| Last updated in NPPES | June 28, 2021 |
| Certification date | June 7, 2021 |
| Mailing address | 1215 O Street, Ms-3, Patient Cost Recovery Section, Sacramento, CA 95814-6414 |
Other providers in Patton
-
Kamar Ysabel Tazi
3102 E Highland Ave, Patton, CA 92369-7813 · (914) 373-0476
-
Johnathan Christopher Watson, PSYD
3102 E Highland Ave, Patton, CA 92369-7813 · (909) 425-7000