Healthcare Provider Details
I. General information
NPI: 1225797202
Provider Name (Legal Business Name): EEHAI SAESEE MCCARTY PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/16/2021
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1646 S COURT ST
VISALIA CA
93277-4962
US
IV. Provider business mailing address
5211 W GOSHEN AVE # 147
VISALIA CA
93291-8619
US
V. Phone/Fax
- Phone: 559-625-8890
- Fax: 559-733-5053
- Phone: 559-741-3666
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 4093-0 |
| License Number State | HI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 95019479 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: