PREMIUM MENTAL HEALTH SERVICES – NPI #1689458051
Psychiatry & Neurology

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.

PREMIUM MENTAL HEALTH SERVICES is a psychiatry & neurologist located in MODESTO, CA. NPPES has assigned the NPI number 1689458051 to PREMIUM MENTAL HEALTH SERVICES on August 24, 2023. 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.. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was last updated on Aug 09, 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
1689458051
Enumeration Date

(about 3 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: (559) 495-8659 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARIELA GUTIERREZ
CLINIC SUPERVISOR
Phone: (209) 522-9054
Updated
Certification Date
Aug 09, 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
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)

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.