Pacific Coast Mental Health

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A84067 Issued in CA

Legal business name

PACIFIC COAST MENTAL HEALTH

Doing business as

PCMH

Practice address

4 Dorado PL
Rolling Hills Estates, CA 90274-4213

Phone

(800) 678-3127

Fax

(800) 929-8557

NPI assigned

May 19, 2009

Last updated

Oct 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Vernon Tucker, M.D.

Title

Ceo/Director

Phone

(800) 678-3127

Specialties & licenses 5

Addresses

Other names 1

• PCMH Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tarry Annette Wolfe, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Apache Junction, AZ
  • NPI 1982655338

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1457586521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DORADO PL",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902744213",
            "telephone_number": "800-678-3127",
            "fax_number": "800-929-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DORADO PL",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902744213",
            "telephone_number": "800-678-3127",
            "fax_number": "800-929-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "800-678-3127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A84067",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A84067",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A84067",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "A84067",
            "primary": false
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A84067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCMH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel O'Brien
• Princess Omo Okieme, LCSW
• Thomas Terumi Omoto, D.M.D
• Dorothy Owens
• Chukwudi Ozonnadi
• Pacific Coast Osteopathy
• Pacific Physical Therapy
• Michelle De Vela Padre, AGACNP-BC, AGCNS, RN
• Sydney Palmer, LMFT
• Palos Verdes Family Vision

• Psychiatry Physician in Rolling Hills Estates, CA
• Providers in Rolling Hills Estates, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.