Organization · Type 2 NPI

Heritage Clinic and the Community Assistance Program for Seniors

Clinical Psychologist · Long Beach, CA

NPI number 1376681163 Active

Practice location

3939 Atlantic Ave, Suite 103
Long Beach, CA 90807-3536

Call (562) 264-6001 Map

Fax (562) 264-6006

Mailing address

447 N El Molino Ave
Pasadena, CA 91101-1403

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY17307 (CA)
Case Manager/Care Coordinator	171M00000X	None listed
Supports Brokerage Agency	251X00000X	None listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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NPI record

NPI: 1376681163
Entity type: Organization (Type 2)
Issued: Feb 2, 2007
Last updated: Feb 17, 2022
Status: Active

Other names

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Heritage Clinic & Community Assistance Programs for Seniors · doing business as
Heritage Clinic & Community Assistance Programs for Seniors · doing business as

Authorized official

Dr. Jamie Garis, PSY.D.
Program Director
(626) 577-8480

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376681163

Heritage Clinic and the Community Assistance Program for Seniors's National Provider Identifier is 1376681163, issued on Feb 2, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Long Beach, CA. The record was last updated on Feb 17, 2022.