Healthcare Provider Details

I. General information

NPI: 1629997614
Provider Name (Legal Business Name): ANCHOR CLINICAL & MENTAL HEALTH SERVIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 CALLE AMISTAD UNIT 2102
SAN CLEMENTE CA
92673-6918
US

IV. Provider business mailing address

4058 E ASPEN WAY
GILBERT AZ
85234-7506
US

V. Phone/Fax

Practice location:
  • Phone: 602-879-2136
  • Fax:
Mailing address:
  • Phone: 602-879-2136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SABRINA RAE CARBONI
Title or Position: OWNER
Credential:
Phone: 602-879-2136