PREMIUM MENTAL HEALTH SERVICES – NPI #1467533737
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

PREMIUM MENTAL HEALTH SERVICES is a provider located in MODESTO, CA. NPPES has assigned the NPI number 1467533737 to PREMIUM MENTAL HEALTH SERVICES on October 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PREMIUM MENTAL HEALTH SERVICES” is a dba name, the actual legal business name for this organization is ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Aug 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMIUM MENTAL HEALTH SERVICES below.

NPI Profile for
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.

NPI Number
1467533737
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Doing Business As (dba): PREMIUM MENTAL HEALTH SERVICES
Primary location
1130 COFFEE RD STE 10
MODESTO, CA 95355-4228
Phone: (209) 522-9054 Fax: (209) 522-2631
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARIELA GUTIERREZ
CLINIC SUPERVISOR
Phone: (209) 522-9054
Updated
Certification Date
Aug 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
2084P0800X
- Psychiatry & Neurology / Psychiatry

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.