Spark Center For Psychology, Inc.

LBN: Spark Center For Psychology, Inc.
Spark Center For Psychology, Inc. is an health care organization with primary practice located at 1412 S St Ste 100 , Sacramento CA 95811-7155. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Spark Center For Psychology, Inc. can be contacted via phone (916) 616-8561, or through Vaccaro, Brenda via phone (916) 616-8561.

Contact Information

Primary practice address
1412 S St Ste 100 Sacramento CA 95811-7155
Phone: (916) 616-8561
Fax: (916) 970-0075
Website:
Map and Directions
Authorized official contact:
Name: Vaccaro, Brenda PSYD
Phone: (916) 616-8561

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1770114662
LBN Legal business name Spark Center For Psychology, Inc.
DBA Doing business as
Authorized official Vaccaro, Brenda PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2020
Last updated Jan 29th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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