MEDICARE: DESERT COUNSELING & ASSESSMENT CENTER, A PSYCHOLOGICAL CORPORATION

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	103TC0700X	Clinical Psychologist	PSY20432	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1720078868	OTHER	CA	INDIVIDUAL NPI

General Provider Information

NPI Number	:	1871604777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT COUNSELING & ASSESSMENT CENTER, A PSYCHOLOGICAL CORPORATION

Provider Business Mailing Address
First Line	:	41750 RANCHO LAS PALMAS DR
Second Line	:	SUITE L6
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-5511
Country	:	US
Telephone Number	:	760-674-9100
Fax Number	:	760-674-9211

Provider Business Practice Location Address
First Line	:	41750 RANCHO LAS PALMAS DR
Second Line	:	SUITE L6
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-5511
Country	:	US
Telephone Number	:	760-674-9100
Fax Number	:	760-674-9211

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHELLE MARIE YOUNT-SMETANA
Credential	:	PH.D.
Telephone Number	:	760-674-9100

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/22/2020

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1720078868 — DR. MICHELLE MARIE YOUNT-SMETANA PH.D.
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1992777098 — DR. ANDREW STEPHEN JANIK M.D.
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41750 RANCHO LAS PALMAS DR , SUITE C-3
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1225000128 — MS. ALICE KING JANIK L.M.F.T.
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41750 RANCHO LAS PALMAS DR , SUITE C3
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Practice Location Address:

41750 RANCHO LAS PALMAS DR , SUITE K-5
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1881789147 — PAUL ALEXANDER BISKAR M.D.
Practice Location Address:

41750 RANCHO LAS PALMAS DR , SUITE C4
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