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NPI Code Detail

MEDICARE: PORTIA BELL HUME BEHAVIORAL HEALTH AND TRAINING CENTER

MEDICARE: PORTIA BELL HUME BEHAVIORAL HEALTH AND TRAINING CENTER
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548536287
Entity Type Code : Organization
Provider Name (Legal Business Name) : PORTIA BELL HUME BEHAVIORAL HEALTH AND TRAINING CENTER
Provider Business Mailing Address
First Line : 1333 WILLOW PASS RD STE 102
Second Line :
City : CONCORD
State : CA
Zip : 94520-5225
Country : US
Telephone Number : 925-825-1793
Fax Number : 925-825-7094
Provider Business Practice Location Address
First Line : 5776 STONERIDGE MALL RD STE 340
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-4514
Country : US
Telephone Number : 925-223-8047
Fax Number : 925-223-8048
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOTY SIKAND
Credential : PSY.D.
Telephone Number : 925-825-1793
Provider Enumeration Date : 03/27/2012
Last Update Date : 03/14/2025

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