MEDICARE: RIZO PSYCHOLOGICAL & BEHAVIORAL HEALTH SERVICES INC.

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	1041C0700X	Clinical Social Worker
2	103TS0200X	School Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	104053	OTHER	CA	BBS
4	4374	OTHER	CA	BBS

General Provider Information

NPI Number	:	1710797519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIZO PSYCHOLOGICAL & BEHAVIORAL HEALTH SERVICES INC.

Provider Business Mailing Address
First Line	:	2200 ALTURAS DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93305-2916
Country	:	US
Telephone Number	:	661-932-7243
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 22ND ST STE 110
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93301-3831
Country	:	US
Telephone Number	:	661-432-7093
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MELISSA RIZO
Credential	:	LCSW
Telephone Number	:	661-932-7243

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	01/13/2025

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