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NPI Code Detail

MEDICARE: FORESIGHT MENTAL HEALTH

MEDICARE: FORESIGHT MENTAL HEALTH
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
1103TC0700XClinical Psychologist
21041C0700XClinical Social Worker
32084P0800XPsychiatry PhysicianA48810CA
42084P0800XPsychiatry Physician
5363LP0808XPsychiatric/Mental Health Nurse Practitioner
6101Y00000XCounselor

General Provider Information

NPI Number : 1902390537
Entity Type Code : Organization
Provider Name (Legal Business Name) : FORESIGHT MENTAL HEALTH
Provider Business Mailing Address
First Line : PO BOX 530077
Second Line :
City : ATLANTA
State : GA
Zip : 30353-0077
Country : US
Telephone Number : 510-926-6677
Fax Number : 510-756-0812
Provider Business Practice Location Address
First Line : 2855 TELEGRAPH AVE STE 515
Second Line :
City : BERKELEY
State : CA
Zip : 94705-1151
Country : US
Telephone Number : 510-926-6677
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BELINDA MILFORD
Credential : MD
Telephone Number : 510-926-6677
Provider Enumeration Date : 06/18/2018
Last Update Date : 09/01/2021

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Directions to “FORESIGHT MENTAL HEALTH ” Practice Location

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