Provider Demographics
NPI:1316376320
Name:CARE ALL PSYCHIATRIC SVCS
Entity type:Organization
Organization Name:CARE ALL PSYCHIATRIC SVCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-428-1044
Mailing Address - Street 1:7960 SOQUEL DR
Mailing Address - Street 2:SUITE B, # 419
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3995
Mailing Address - Country:US
Mailing Address - Phone:831-674-8888
Mailing Address - Fax:
Practice Address - Street 1:7960 SOQUEL DR
Practice Address - Street 2:SUITE B, # 419
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3995
Practice Address - Country:US
Practice Address - Phone:831-454-8491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-11
Last Update Date:2013-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG675022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKE85894Medicare UPIN
CAA29502Medicare UPIN