MEDICARE: SEQUOIA BEHAVIORAL HEALTH A PROFESSIONAL PSYCHOLOGY CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1841060886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEQUOIA BEHAVIORAL HEALTH A PROFESSIONAL PSYCHOLOGY CORPORATION

Provider Business Mailing Address
First Line	:	C/O PREMIER VALLEY BANK, PO BOX 45992
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94145-0992
Country	:	US
Telephone Number	:	559-667-4111
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 E CALDWELL AVE
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93277-7605
Country	:	US
Telephone Number	:	559-667-4111
Fax Number	:

Authorized Official
Title or Position	:	BILLING DIRECTOR
Name	:	DR. HAYDEN MOSER
Credential	:
Telephone Number	:	949-446-6281

Provider Enumeration Date	:	01/02/2024
Last Update Date	:	01/08/2026

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