Organization
PSYCHSHIELD CORPORATION
Active
Other names
Psychshield Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILEY D SUTTON PH.D. (CEO/PSYCHOTHERAPY PROVIDER)
(562) 595-7102
Entity
Organization
Contact information
Practice address
4000 LONG BEACH BLVD STE 212, LONG BEACH, CA 90807-2617
(562) 595-7102
(562) 595-9112
Mailing address
PO BOX 250, LAKEWOOD, CA 90714-0250
(562) 595-7102
(562) 595-9112
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PSY 4467
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHD 019 00 N
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/17/2007
Last updated
01/16/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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