MEDICARE: MEANINGFUL REMEDIES PSYCHOLOGY, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1982342499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEANINGFUL REMEDIES PSYCHOLOGY, INC.

Provider Business Mailing Address
First Line	:	2975 BOWERS AVE STE 119
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-0955
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2975 BOWERS AVE STE 119
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-0955
Country	:	US
Telephone Number	:	408-207-4493
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHELLE MEDEIROS
Credential	:
Telephone Number	:	408-207-4493

Provider Enumeration Date	:	05/24/2022
Last Update Date	:	05/24/2022

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