Organization
MACMASTER PSYCHIATRIC SERVICES A PROFESSIONAL NURSING CORPORATION
Active
Organization
MACMASTER PSYCHIATRIC SERVICES A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MARTIN MACMASTER PMHNP (OWNER)
(559) 776-8864
Entity
Organization
Contact information
Practice address
1510 S BARKER ST, MOUNTAIN HOUSE, CA 95391-1473
(559) 776-8864
Mailing address
1510 S BARKER ST, MOUNTAIN HOUSE, CA 95391-1473
(559) 776-8864
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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