Perynn Dalba, PSYCHOLOGIST
Individual provider Active NPI Clinical Psychologist · Winters, CA
NPI 1265129191 · NPPES record last updated Jun 25, 2023
Key facts
- NPI
- 1265129191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 34159 (CA)
- Practice address
- 510 Railroad Ave #1259
Winters, CA 95694-1011 - Phone
- (650) 670-8245
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230706003526 | CA | Practitioner - Clinical Psychologist | 8628437852 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Psychologist | Current |
Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | 34159 | CA | Yes |
Addresses
Primary practice location
510 Railroad Ave #1259
Winters, CA 95694-1011
Mailing address
510 Railroad Ave #1269
Winters, CA 95694
Phone (650) 670-8245
Other providers in Winters, CA
- Emma Marie Brown
- Bryan D Case
- Nicole Chiamparino Roper
- Prescilla Flores Colas
- Compassionate Counseling PLLC
- Jacqueline Davis
- William Boyce Davis
- Roxanne V Delfino
- Gabriela Diaz
- Doulas for United Labor Access and Advocacy in Hospitals Inc
All providers in Winters, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.