Organization · Type 2 NPI

County of Stanislaus

Psychiatry Physician · Modesto, CA

NPI number 1750592184 Active

Practice location

800 Scenic Dr
Modesto, CA 95350-6131

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician Primary	2084P0800X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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NPI record

NPI: 1750592184
Entity type: Organization (Type 2)
Issued: May 25, 2007
Last updated: Jul 28, 2026
Status: Active
Subpart: Yes of Stanislaus County BHRS

Other names

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Fee for Service - Psychiatrist · other name
Fee for Service - Psychiatrist · other name

Authorized official

Ruben Imperial, MBA
Behavioral Health Interim Director
(209) 525-6225

Verify this record

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 1750592184

County of Stanislaus's National Provider Identifier is 1750592184, issued on May 25, 2007. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Modesto, CA. The record was last updated on Jul 28, 2026.