Xan C Devaney

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

XAN C DEVANEY

Practice address

922 E St Ste 202
Eureka, CA 95501-1873

Phone

(707) 616-9649

NPI assigned

Aug 11, 2023

Organization subpart

No

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

Authorized official

Name

Xan Devaney, PSY.D.NPI 1730542846

Title

Owner/Operator

Phone

(707) 616-9649

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Xan Devaney

  • Clinical Psychologist
  • Sonora, CA
  • NPI 1730542846
  Medicare reassignment NPD Authorized official
• Susan Ja Badra

  • Clinical Social Worker
  • Eureka, CA
  • NPI 1073030649
  NPD (past)
• Elizabeth Gabrielle Drabkin, LCSW

  • Clinical Social Worker
  • Eureka, CA
  • NPI 1104800689
  NPD (past)
• Mary Beth Schweickert, LCSW

  • Clinical Social Worker
  • Eureka, CA
  • NPI 1003218249
  NPD (past)

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1841973294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6691",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955026691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 E ST STE 202",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011873",
            "telephone_number": "707-616-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAN C DEVANEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "DEVANEY",
        "authorized_official_first_name": "XAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "707-616-9649",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Hallee Wroten
• Danielle Wulfestieg, MA
• Vesta Wunner, LCSW
• Megan Wurtz
• Yvonne Maureen Wyllie, RN
• Xeyes, Inc.
• Blia Xiong, RN
• Kabou Xiong, FNP-C
• Wei Xu
• Amanda Yang

• Adult Mental Health Clinic/Center in Eureka, CA
• Providers in Eureka, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.