Organization Active NPI

Genesis TMS LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Turlock, CA
National Provider Identifier
1003700816
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
GENESIS TMS LLC
Practice address
135 S Center St
Turlock, CA 95380-4507
Phone
(209) 495-7724
NPI assigned
Jun 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Romena Kiryakous, PSYDNPI 1568225159
Title
Ceo
Phone
(209) 495-7724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

135 S Center St
Turlock, CA 95380-4507

Mailing address

135 S Center St
Turlock, CA 95380-4507
Phone (209) 495-7724

Other practice location 1

1520 River Park Dr
Sacramento, CA 95815-4602
Phone (800) 510-1365

Other practice location 2

528 14th St
Modesto, CA 95354-2503
Phone (800) 510-1365

Other names 1

  • Genesis TMS LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250731000749 CA Part B Supplier - Clinic/Group Practice 1557879756 Receives reassigned benefits from 1 practitioner
Practice locations: Turlock, CA

National Provider Directory

National Provider Directory

Locations

1520 River Park Dr
Sacramento, CA 95815
Phone (209) 202-6335

135 S Center St
Turlock, CA 95380
Phone (209) 495-7724

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1003700816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S CENTER ST",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804507",
            "telephone_number": "209-495-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S CENTER ST",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804507",
            "telephone_number": "209-495-7724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 River Park Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154602",
            "country_code": "US",
            "telephone_number": "800-510-1365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "528 14th St",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953542503",
            "country_code": "US",
            "telephone_number": "800-510-1365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS TMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "KIRYAKOUS",
        "authorized_official_first_name": "ROMENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-495-7724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis TMS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.