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NPI Code Detail

MEDICARE: PSYCLARITY HEALTH INC.

MEDICARE: PSYCLARITY HEALTH 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1902511827
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSYCLARITY HEALTH INC.
Provider Business Mailing Address
First Line : 22450 COLLINS ST
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-4430
Country : US
Telephone Number : 855-921-5120
Fax Number :
Provider Business Practice Location Address
First Line : 22450 COLLINS ST
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-4430
Country : US
Telephone Number : 855-921-5120
Fax Number :
Authorized Official
Title or Position : ED
Name : ERIC BARYLOVA
Credential :
Telephone Number : 855-921-5120
Provider Enumeration Date : 01/16/2023
Last Update Date : 01/18/2023

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Directions to “PSYCLARITY HEALTH INC. ” Practice Location

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