Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LA CONCORDIA PSYCHOTHERAPY AND WELLNESS CLINIC
Active
Organization
LA CONCORDIA PSYCHOTHERAPY AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RUTH ALEJANDRA FERNANDEZ BS (OFFICE MANAGER)
(925) 849-4695
Entity
Organization
Contact information
Practice address
1070 CONCORD AVE STE 109, CONCORD, CA 94520-5608
(925) 849-5349
(925) 270-3382
Mailing address
1070 CONCORD AVE STE 109, CONCORD, CA 94520-5608
(925) 849-5349
(925) 270-3382
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
—
174H00000X
Health Educator
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558558676
NPI
CA
01
—
1588997035
NPI
CA
01
—
1750641189
NPI
CA
Enumeration date
08/20/2020
Last updated
09/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up