PANACEA SERVICES, INC. (NPI# 1669744124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669744124 |
| Entity Type | Organization |
| Organization Name | PANACEA SERVICES, INC. |
| Other Organization Name | PANACEA SERVICES, INC. AT GEORGE W. CARVER SCHOOL OF ARTS & SCIENCES |
| Practice Address |
10101 Systems Pkwy Sacramento CA 95827-3007 |
| Mailing Address |
3353 Bradshaw Rd Suite 106 Sacramento CA 95827-2607 |
| Practice Telephone | 9168544564 |
| Mailing Telephone | 9168544564 |
| Mailing Fax Number | 9168571580 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |
| Authorized Official Name | MRS. TRISHA SEASTROM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9168544564 |
| Authorized Official Credential | BA, LAADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| Other Name | Type Code |
|---|---|
| Panacea Services, Inc. at George W. Carver School of Arts & Sciences | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902236797 | Panacea Services, Inc. | Community/Behavioral Health | 5437 Palm Ave, Sacramento, CA 95841-2317 | 2013-11-15 |
| 1548693179 | Panacea Services, Inc. | Community/Behavioral Health | 114 E Shaw Ave Ste 211, Fresno, CA 93710-7621 | 2013-08-19 |
| 1578815247 | Panacea Services, Inc. | Early Intervention Provider Agency | 8691 Power Inn Rd, Elk Grove, CA 95624-3467 | 2012-10-05 |
| 1295087963 | Panacea Services, Inc. | Early Intervention Provider Agency | 8365 Whitelock Pkwy, Elk Grove, CA 95757-5930 | 2012-10-05 |
| 1821349697 | Panacea Services, Inc. | Early Intervention Provider Agency | 5715 Skvarla Ave, Mcclellan, CA 95652-2424 | 2012-09-19 |
| 1568735009 | Panacea Services, Inc. | Community/Behavioral Health | 8661 Power Inn Rd, Elk Grove, CA 95624-3467 | 2012-02-14 |
| 1760754220 | Panacea Services, Inc. | Community/Behavioral Health | 2250 68th Ave, Sacramento, CA 95822-5302 | 2012-01-31 |
| 1932471497 | Panacea Services, Inc. | Community/Behavioral Health | 4140 Cuny Ave, Sacramento, CA 95823-1911 | 2012-01-31 |
| 1295007755 | Panacea Services, Inc. | Community/Behavioral Health | 4600 Roseville Rd, Suite 220, North Highlands, CA 95660-5162 | 2012-01-31 |
| 1205108768 | Panacea Services, Inc. | Community/Behavioral Health | 6201 Lemon Hill Ave, Sacramento, CA 95824-3225 | 2012-01-31 |
| Street Address |
10101 SYSTEMS PKWY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417580093 | Turning Point Community Programs | Community/Behavioral Health | 5417 Madison Ave, Sacramento, CA 95841-3164 | 2020-02-21 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| 1558907543 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite 102, Sacramento, CA 95825 | 2019-11-25 |
| 1912463852 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3800 Watt Ave., Suite 110, Sacramento, CA 95821-2622 | 2019-02-15 |
| 1902379068 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S. Street, Suite 101, Sacramento, CA 95811-6919 | 2019-01-10 |
| 1952883829 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave Suite 102, Sacramento, CA 95825 | 2018-09-06 |
| 1770088718 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S St Ste 101, Sacramento, CA 95811-6919 | 2018-03-29 |
| 1891299350 | R&c Holdings | Community/Behavioral Health | 1109 Roundtree Ct, Sacramento, CA 95831-2640 | 2018-03-20 |
| 1437657301 | Mending Hearts Mending Minds Inc | Community/Behavioral Health | 6524 44th Street, Sacramento, CA 95823-5667 | 2018-01-25 |
| 1902312838 | Lilliput Families | Community/Behavioral Health | 2750 Sutterville Rd # Cottage3, Sacramento, CA 95820-1024 | 2017-12-14 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.