County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA ADAMS, SUZANNE

4289 PIEDMONT AVE, STE 204

OAKLAND, CA 94611

Psychologist

CA License Number PSY29244

Other Languages

National Provider ID 1588859987

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SUZANNE ADAMS -PRIVATE PRACTICE-

ALAMEDA ADLER, KARL

2045 FRANCISCO ST

BERKELEY, CA 94709

Psychiatrist

CA License Number G66450

Other Languages

National Provider ID 1609939818

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

KARL ADLER -PRIVATE PRACTICE-

ALAMEDA ADRIAN, LEAH

111 MYRTLE ST, 3RD FLOOR

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number 89716

Other Languages

National Provider ID 1710328430

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

LEAH ADRIAN -PRIVATE PRACTICE-

ALAMEDA AHN, MICHELLE

1250 ADDISON ST, STE 113

BERKELEY, CA 94702

Psychiatrist

CA License Number G121280

Other Languages

National Provider ID 1295902930

Accepting New Patients Yes. Referral may be required.

(510) 868-2526

Certification Number

MICHELLE AHN -PRIVATE PRACTICE-

ALAMEDA AHN, MICHELLE

1942 UNIVERSITY AVE, STE 306

BERKELEY, CA 94704

Psychiatrist

CA License Number G121280

Other Languages

National Provider ID 1295902930

Accepting New Patients Yes. Referral may be required.

(510) 868-2526

Certification Number

MICHELLE AHN -PRIVATE PRACTICE-

ALAMEDA AIDELLS, ANDREA

5625 COLLEGE AVE, STE 210A

OAKLAND, CA 94618

Licensed Clinical Social Worker

CA License Number MFC8026

Other Languages

National Provider ID 1891842928

Accepting New Patients Yes. Referral may be required.

(510) 653-1903

Certification Number

ANDREA AIDELLS LCSW MFT

Page 1 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA ALEXANDER, JOAN

1509 ADA ST,

BERKELEY, CA 94703

Licensed Clinical Social Worker

CA License Number LCS00008014

Other Languages

National Provider ID 1982790283

Accepting New Patients Yes. Referral may be required.

(510) 525-1664

Certification Number

JOAN ALEXANDER

ALAMEDA ALTAKER, BRYAN

2939 SUMMIT ST,

OAKLAND, CA 94609

Marriage and Family Therapist

CA License Number 45632

Other Languages

National Provider ID 1669534889

Accepting New Patients Yes. Referral may be required.

(510) 457-8351

Certification Number

BRYAN ALTAKER -PRIVATE PRACTICE-

ALAMEDA ALTENAU, MYRA

1999 HARRISON ST, # 1863

OAKLAND, CA 94612

Psychologist

CA License Number 25028

Other Languages

National Provider ID 1174716039

Accepting New Patients Yes. Referral may be required.

(707) 393-7978

Certification Number

MYRA ALTENAU -PRIVATE PRACTICE-

ALAMEDA ANEJA, ALKA

5674 STONERIDGE DR, STE 205

PLEASANTON, CA 94588

Psychiatrist

CA License Number A112029

Other Languages

National Provider ID 1619031317

Accepting New Patients Yes. Referral may be required.

(925) 520-0066

Certification Number

ALKA ANEJA -PRIVATE PRACTICE-

ALAMEDA ARCE, LUCIA

20284 REDWOOD RD,

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number MFC30289

Other Languages

National Provider ID 1831218197

Accepting New Patients Yes. Referral may be required.

(510) 582-2389

Certification Number

LUCIA ARCE, PSY.D., M.F.T.

ALAMEDA ARSLAN, NORMAN

345 ESTUDILLO AVE, STE 207

SAN LEANDRO, CA 94577

Marriage and Family Therapist

CA License Number MFC14460

Other Languages

National Provider ID 1023165602

Accepting New Patients Yes. Referral may be required.

(650) 697-5320

Certification Number

NORMAN ARSLAN -PRIVATE PRACTICE-

Page 2 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA ASSAF, HEFTSI

2305 ASHBY AVE,

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number MFC40062

Other Languages HEBREW

National Provider ID 1104953538

Accepting New Patients Yes. Referral may be required.

(510) 869-5009

Certification Number

HEFTSI ASSAF -PRIVATE PRACTICE-

ALAMEDA AUGUST, LUCIA

20200 REDWOOD RD, STE 8

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number MFC27658

Other Languages

National Provider ID 1508184169

Accepting New Patients Yes. Referral may be required.

(510) 792-5588

Certification Number

LUCIA KIM AUGUST MA MFT

ALAMEDA AUZA, MICHAEL

39420 LIBERTY ST, STE 265

FREMONT, CA 94538

Psychiatrist

CA License Number A114483

Other Languages

National Provider ID 1649560673

Accepting New Patients Yes. Referral may be required.

(510) 744-3688

Certification Number

MICHAEL AUZA -PRIVATE PRACTICE-

ALAMEDA BACHMEIER, MICHELE

828 SAN PABLO AVE, STE 115

ALBANY, CA 94706

Marriage and Family Therapist

CA License Number 35491

Other Languages

National Provider ID 1265624514

Accepting New Patients Yes. Referral may be required.

(510) 859-8670

Certification Number

MICHELE BACHMEIER -PRIVATE PRACTICE-

ALAMEDA BALDINO, VINCENZA

1727 MARTIN LUTHER KING J, STE 105

OAKLAND, CA 94612

Marriage and Family Therapist

CA License Number MFC24797

Other Languages

National Provider ID 1801007489

Accepting New Patients Yes. Referral may be required.

(510) 368-4147

Certification Number

VINCENZA BALDINO -PRIVATE PRACTICE-

ALAMEDA BALDINO, VINCENZA

1727 MARTIN LUTHER KING J, STE 105

OAKLAND, CA 94612

Marriage and Family Therapist

CA License Number MFT24797

Other Languages

National Provider ID 1801007489

Accepting New Patients Yes. Referral may be required.

(510) 368-4147

Certification Number

VINCENZA BALDINO -PRIVATE PRACTICE-

Page 3 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA BANCHIK-ROTHSCHILD, PATRICIA

2939 SUMMIT ST, SUITE 204

OAKLAND, CA 94609

Marriage and Family Therapist

CA License Number MFC29439

Other Languages SPANISH

National Provider ID 1417158353

Accepting New Patients Yes. Referral may be required.

(510) 457-5105

Certification Number

PATRICIA BANCHIK-ROTHSCHILD -PRIVATE

ALAMEDA BARKHURST, SUSAN

644 ABBIE ST,

PLEASANTON, CA 94566

Marriage and Family Therapist

CA License Number MFC17698

Other Languages

National Provider ID 1881738441

Accepting New Patients Yes. Referral may be required.

(925) 417-7027

Certification Number

SUSAN BARKHURST -PRIVATE PRACTICE-

ALAMEDA BARNES, KAREN

2955 SHATTUCK AVE,

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number MFC28254

Other Languages

National Provider ID 1609956457

Accepting New Patients Yes. Referral may be required.

(415) 642-9580

Certification Number

KAREN BARNES -PRIVATE PRACTICE-

ALAMEDA BARRETT, ANN

210 40TH STREET WAY

OAKLAND, CA 94611

Psychologist

CA License Number 28146

Other Languages

National Provider ID 1205380706

Accepting New Patients Yes. Referral may be required.

(562) 904-3999

Certification Number

ANN BARRETT -PRIVATE PRACTICE-

ALAMEDA BAWEJA, PRIYANKA

39899 BALENTINE DR, STE 210

NEWARK, CA 94560

Psychiatrist

CA License Number 139717

Other Languages HINDI

National Provider ID 1023322567

Accepting New Patients Yes. Referral may be required.

(510) 657-9700

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

ALAMEDA BEERS, SONIA

2000 HEARST AVE, 203A

BERKELEY, CA 94709

Professional Clinical Counselor

CA License Number LPC88619

Other Languages

National Provider ID 1245580646

Accepting New Patients Yes. Referral may be required.

(510) 981-1471

Certification Number

SONIA BEERS -PRIVATE PRACTICE-

Page 4 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA BENNETT, LINDA

1325 B ST,

HAYWARD, CA 94541

Marriage and Family Therapist

CA License Number MFC36514

Other Languages

National Provider ID 1598899528

Accepting New Patients Yes. Referral may be required.

(510) 886-4895

Certification Number

LINDA BENNETT MS MFT

ALAMEDA BERHANU, MARTHA

20200 REDWOOD RD, STE 14

CASTRO VALLEY, CA 94546

Licensed Clinical Social Worker

CA License Number 26891

Other Languages AMHARIC

National Provider ID 1265718472

Accepting New Patients Yes. Referral may be required.

(510) 520-3152

Certification Number

MARTHA BERHANU -PRIVATE PRACTICE-

ALAMEDA BEYER, YVONNE

166 SANTA CLARA AVE,

OAKLAND, CA 94610

Marriage and Family Therapist

CA License Number MFC36544

Other Languages SWEDISH FRENCH SWEDISH

National Provider ID 1649318239

Accepting New Patients Yes. Referral may be required.

(510) 601-0132

Certification Number

YVONNE BEYER -PRIVATE PRACTICE-

ALAMEDA BOURNE, KATHLEEN

3036 REGENT ST,

BERKELEY, CA 94705

Psychologist

CA License Number PSY14398

Other Languages

National Provider ID 1770615072

Accepting New Patients Yes. Referral may be required.

(510) 295-7941

Certification Number

KATE BOURNE PHD

ALAMEDA BRADLEY, HEATHER

2811 COLLEGE AVE, UNIT A

BERKELEY, CA 94705

Psychologist

CA License Number 24678

Other Languages

National Provider ID 1366512360

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

HEATHER BRADLEY -PRIVATE PRACTICE-

ALAMEDA BRIAN, GREGORY

2315 PRINCE ST,

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number 38087

Other Languages

National Provider ID 1922163542

Accepting New Patients Yes. Referral may be required.

(510) 888-3477

Certification Number

GREGORY BRIAN -PRIVATE PRACTICE-

Page 5 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA BROWN, JUDITH

5299 COLLEGE AVE, C

OAKLAND, CA 94618

Psychologist

CA License Number PSY8747

Other Languages

National Provider ID 1841212149

Accepting New Patients Yes. Referral may be required.

(510) 793-9840

Certification Number

JUDITH BROWN -PRIVATE PRACTICE-

ALAMEDA BROWN, JUDITH

39812 MISSION BLVD, STE 106

FREMONT, CA 94539

Psychologist

CA License Number PSY8747

Other Languages

National Provider ID 1841212149

Accepting New Patients Yes. Referral may be required.

(510) 793-9840

Certification Number

JUDITH R BROWN PHD

ALAMEDA BROWN, MASHA

1942 UNIVERSITY AVE, STE 306

BERKELEY, CA 94704

Psychologist

CA License Number 25023

Other Languages

National Provider ID 1184812927

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MASHA BROWN -PRIVATE PRACTICE-

ALAMEDA BRUCE, PATRICIA

2844 SUMMIT ST, STE 211

OAKLAND, CA 94609

Licensed Clinical Social Worker

CA License Number LCS62698

Other Languages SPANISH

National Provider ID 1346426921

Accepting New Patients Yes. Referral may be required.

(510) 631-1446

Certification Number

PATRICIA BRUCE -PRIVATE PRACTICE-

ALAMEDA BRUGEL, JESSICA

3852 PIEDMONT AVE,

OAKLAND, CA 94611

Licensed Clinical Social Worker

CA License Number 25590

Other Languages

National Provider ID 1649502642

Accepting New Patients Yes. Referral may be required.

(510) 282-4146

Certification Number

JESSICA BRUGEL -PRIVATE PRACTICE-

ALAMEDA BUSH, RICHARD

1806 MARTIN LUTHER KING J,

BERKELEY, CA 94709

Psychologist

CA License Number PSY10243

Other Languages

National Provider ID 1205985496

Accepting New Patients Yes. Referral may be required.

(510) 845-1845

Certification Number

RICHARD BUSH -PRIVATE PRACTICE-

Page 6 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA BUTLER, THOMAS

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number 130025

Other Languages

National Provider ID 1548552979

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

THOMAS BUTLER -PRIVATE PRACTICE-

ALAMEDA CAMMISA, COLETTE

20200 REDWOOD RD, STE 9

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number MFC00025378

Other Languages

National Provider ID 1881617082

Accepting New Patients Yes. Referral may be required.

(510) 881-0691

Certification Number

COLETTE CAMMISA -PRIVATE PRACTICE-

ALAMEDA CAMPBELL, RHONDA

2424 DWIGHT WAY, STE 5

BERKELEY, CA 94704

Marriage and Family Therapist

CA License Number MFT32415

Other Languages

National Provider ID 1285726141

Accepting New Patients Yes. Referral may be required.

(408) 259-1933

Certification Number

RHONDA CAMPBELL -PRIVATE PRACTICE-

ALAMEDA CAMPOS, MARC

22539 2ND ST,

HAYWARD, CA 94541

Licensed Clinical Social Worker

CA License Number LCS14648

Other Languages SPANISH

National Provider ID 1487715785

Accepting New Patients Yes. Referral may be required.

(510) 329-2571

Certification Number

MARC CAMPOS -PRIVATE PRACTICE-

ALAMEDA CARLSON, JAN

1240 POWELL ST, 2 C

EMERYVILLE, CA 94608

Marriage and Family Therapist

CA License Number MFT31303

Other Languages

National Provider ID 1447325907

Accepting New Patients Yes. Referral may be required.

(510) 464-1024

Certification Number

JAN CARLSON -PRIVATE PRACTICE-

ALAMEDA CASTREJON, NICOLE

3725 COOLIDGE AVE

OAKLAND, CA 94602

Licensed Clinical Social Worker

CA License Number LCS71810

Other Languages

National Provider ID 1285188797

Accepting New Patients Yes. Referral may be required.

(408) 416-7118

Certification Number

NICOLE CASTREJON -PRIVATE PRACTICE-

Page 7 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA CASTRO-LACOUTURE, MARIA EMMA

827 BROADWAY, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number A111585

Other Languages

National Provider ID 1043469687

Accepting New Patients Yes. Referral may be required.

(510) 834-2049

Certification Number

MARIA EMMA CASTRO-LACOUTURE -PRIVAT

ALAMEDA CASTRO-LACOUTURE, MARIA EMMA

5776 STONERIDGE MALL RD, STE 300

PLEASANTON, CA 94588

Psychiatrist

CA License Number A111585

Other Languages

National Provider ID 1043469687

Accepting New Patients Yes. Referral may be required.

(925) 556-6274

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATES DU

ALAMEDA CHANDLER, EMILY

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number 86956

Other Languages

National Provider ID 1841429396

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

EMILY CHANDLER -PRIVATE PRACTICE-

ALAMEDA CHARNEY-DANYSH, AVA

1676 SOLANO AVE,

BERKELEY, CA 94707

Marriage and Family Therapist

CA License Number MFC37136

Other Languages

National Provider ID 1881712834

Accepting New Patients Yes. Referral may be required.

(510) 527-6112

Certification Number

AVA CHARNEY DANYSH MFT

ALAMEDA CHASET, MARJORIE

123 BAY PL, APT 5

OAKLAND, CA 94610

Marriage and Family Therapist

CA License Number 44243

Other Languages

National Provider ID 1174655468

Accepting New Patients Yes. Referral may be required.

(415) 364-3029

Certification Number

MARJORIE A. CHASET MFT

ALAMEDA CHAWENGCHOT, SARAPHI

1035 SAN PABLO AVE, STE 9

ALBANY, CA 94706

Marriage and Family Therapist

CA License Number MFC40979

Other Languages THAI

National Provider ID 1497815393

Accepting New Patients Yes. Referral may be required.

(510) 612-3749

Certification Number

SARAPHI CHAWENGCHOT -PRIVATE PRACTI

Page 8 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA CHHUN, KORLANY

739 MAIN ST, STE A

PLEASANTON, CA 94566

Marriage and Family Therapist

CA License Number 87271

Other Languages

National Provider ID 1679821664

Accepting New Patients Yes. Referral may be required.

(925) 718-6617

Certification Number

KORLANY CHHUN -PRIVATE PRACTICE-

ALAMEDA CHUNG, DENNIS

3775 BEACON AVE, STE 208

FREMONT, CA 94538

Psychologist

CA License Number 25206

Other Languages CHINESE

National Provider ID 1497069215

Accepting New Patients Yes. Referral may be required.

(510) 449-3386

Certification Number

DENNIS CHUNG -PRIVATE PRACTICE-

ALAMEDA COHEN CARLSON, DIANE

5625 COLLEGE AVE, STE 210B

OAKLAND, CA 94618

Psychologist

CA License Number PSY13662

Other Languages

National Provider ID 1871575308

Accepting New Patients Yes. Referral may be required.

(510) 653-1464

Certification Number

DIANE COHEN CARLSON -PRIVATE PRACTIC

ALAMEDA COHEN, GEORGE

1229 MARIN AVE,

ALBANY, CA 94706

Licensed Clinical Social Worker

CA License Number LCS15337

Other Languages

National Provider ID 1184818981

Accepting New Patients Yes. Referral may be required.

(510) 558-9130

Certification Number

GEORGE COHEN -PRIVATE PRACTICE-

ALAMEDA COLEMAN, PHILIP

2100 LAKESHORE AVE, STE B

OAKLAND, CA 94606

Psychologist

CA License Number PSY00007968

Other Languages

National Provider ID 1447268446

Accepting New Patients Yes. Referral may be required.

(510) 763-0105

Certification Number

PHILIP COLEMAN -PRIVATE PRACTICE-

ALAMEDA COLLINS, ELISABETH

827 BROADWAY, STE 300

OAKLAND, CA 94607

Professional Clinical Counselor

CA License Number NP22301

Other Languages

National Provider ID 1265677983

Accepting New Patients Yes. Referral may be required.

(510) 834-2049

Certification Number

ELISABETH COLLINS -PRIVATE PRACTICE-

Page 9 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA COLLINS, ELISABETH

3000 COLBY ST, STE 202

BERKELEY, CA 94705

Professional Clinical Counselor

CA License Number NP22301

Other Languages

National Provider ID 1265677983

Accepting New Patients Yes. Referral may be required.

(855) 427-2778

Certification Number

ELISABETH COLLINS -PRIVATE PRACTICE-

ALAMEDA COMPAGNI PORTIS, NATALIE

5665 COLLEGE AVE, STE 240A

OAKLAND, CA 94618

Marriage and Family Therapist

CA License Number 23584

Other Languages

National Provider ID 1306155536

Accepting New Patients Yes. Referral may be required.

(510) 531-1571

Certification Number

NATALIE COMPAGNI PORTIS -PRIVATE PRA

ALAMEDA CONDYLIS, LAURA

3871 HOWE ST,

OAKLAND, CA 94611

Psychologist

CA License Number 27600

Other Languages

National Provider ID 1396978466

Accepting New Patients Yes. Referral may be required.

(510) 418-3109

Certification Number

LAURA CONDYLIS -PRIVATE PRACTICE-

ALAMEDA CONNOR, CHARLES

2001 DWIGHT WAY, 4TH FLOOR

BERKELEY, CA 94704

Psychiatrist

CA License Number G65182

Other Languages

National Provider ID 1851447320

Accepting New Patients Yes. Referral may be required.

(510) 204-4635

Certification Number

CHARLES CONNOR -PRIVATE PRACTICE-

ALAMEDA COOPER, ROBERT

4625 1ST ST, STE 140

PLEASANTON, CA 94566

Psychologist

CA License Number PSY00011145

Other Languages

National Provider ID 1407956196

Accepting New Patients Yes. Referral may be required.

(925) 830-3911

Certification Number

ROBERT COOPER -PRIVATE PRACTICE-

ALAMEDA CREAN, EILEEN

2340 WARD ST, STE 204

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number 23883

Other Languages

National Provider ID 1881790871

Accepting New Patients Yes. Referral may be required.

(510) 549-3404

Certification Number

EILEEN CREAN -PRIVATE PRACTICE-

Page 10 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA CUTSHALL, KATHLEEN

2416A CENTRAL AVE, SUITE B

ALAMEDA, CA 94501

Licensed Clinical Social Worker

CA License Number 22819

Other Languages

National Provider ID 1689867798

Accepting New Patients Yes. Referral may be required.

(510) 610-5295

Certification Number

KATHLEEN CUTSHALL -PRIVATE PRACTICE-

ALAMEDA DAYAL, SHALINI

39791 PASEO PADRE PKWY, STE H

FREMONT, CA 94538

Marriage and Family Therapist

CA License Number MFT43574

Other Languages HINDI PANJABI URDU

National Provider ID 1831280445

Accepting New Patients Yes. Referral may be required.

(510) 612-6471

Certification Number

SHALINI DAYAL -PRIVATE PRACTICE-

ALAMEDA DE HOYOS, JUAN

5776 STONERIDGE MALL RD, STE 300

PLEASANTON, CA 94588

Psychiatrist

CA License Number 87714

Other Languages

National Provider ID 1336181411

Accepting New Patients Yes. Referral may be required.

(925) 556-6274

Certification Number

JUAN DE HOYOS -PRIVATE PRACTICE-

ALAMEDA DE SOUSA, GINA

3640 GRAND AVE, STE 205

OAKLAND, CA 94610

Licensed Clinical Social Worker

CA License Number 8986

Other Languages PORTUGUESE

National Provider ID 1669483715

Accepting New Patients Yes. Referral may be required.

(510) 528-1176

Certification Number

GINA DE SOUSA -PRIVATE PRACTICE-

ALAMEDA DEL ROSARIO, ALICE

39899 BALENTINE DR, STE 210

NEWARK, CA 94560

Psychiatrist

CA License Number A38979

Other Languages TAGALOG

National Provider ID 1215048558

Accepting New Patients Yes. Referral may be required.

(510) 657-9700

Certification Number

ALICE DEL ROSARIO -PRIVATE PRACTICE-

ALAMEDA DELAUBERT, CLAUDE

6355 TELEGRAPH AVE, STE 309

OAKLAND, CA 94609

Marriage and Family Therapist

CA License Number MFC34835

Other Languages

National Provider ID 1235200379

Accepting New Patients Yes. Referral may be required.

(510) 594-6800

Certification Number

CLAUDE DELAUBERT -PRIVATE PRACTICE-

Page 11 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA DEMPSEY, RACHYLL

1440 BROADWAY, STE 314

OAKLAND, CA 94612

Psychologist

CA License Number PSY21261

Other Languages

National Provider ID 1902037443

Accepting New Patients Yes. Referral may be required.

(209) 571-0003

Certification Number

RACHYLL DEMPSEY -PRIVATE PRACTICE-

ALAMEDA DIEBOLD, EIKE

2428 DWIGHT WAY

BERKELEY, CA 94704

Psychologist

CA License Number 10583

Other Languages

National Provider ID 1780606681

Accepting New Patients Yes. Referral may be required.

(510) 843-1396

Certification Number

EIKE DIEBOLD -PRIVATE PRACTICE-

ALAMEDA DOLGOFF, ROBERT

1749 MARTIN LUTHER KING,

BERKELEY, CA 94709

Psychiatrist

CA License Number G21844

Other Languages

National Provider ID 1659437291

Accepting New Patients Yes. Referral may be required.

(510) 841-8484

Certification Number

ROBERT DOLGOFF -PRIVATE PRACTICE-

ALAMEDA DOMBROWER, JANET

1811 SANTA RITA RD, STE 226

PLEASANTON, CA 94566

Marriage and Family Therapist

CA License Number MFC12585

Other Languages

National Provider ID 1750390423

Accepting New Patients Yes. Referral may be required.

(510) 537-8630

Certification Number

JANET DOMBROWER -PRIVATE PRACTICE-

ALAMEDA DOMBROWER, JANET

1345 B ST,

HAYWARD, CA 94541

Marriage and Family Therapist

CA License Number MFC12585

Other Languages

National Provider ID 1750390423

Accepting New Patients Yes. Referral may be required.

(510) 537-8630

Certification Number

JANET DOMBROWER -PRIVATE PRACTICE-

ALAMEDA DOUGHERTY, MICHELE

2450 PERALTA BLVD, STE 201D

FREMONT, CA 94536

Licensed Clinical Social Worker

CA License Number LCS13019

Other Languages

National Provider ID 1962593020

Accepting New Patients Yes. Referral may be required.

(510) 739-0942

Certification Number

MICHELE DOUGHERTY -PRIVATE PRACTICE-

Page 12 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA DOWLA, VALERIE

22320 FOOTHILL BLVD, STE 428

HAYWARD, CA 94541

Psychologist

CA License Number 16320

Other Languages FRENCH SPANISH

National Provider ID 1528116290

Accepting New Patients Yes. Referral may be required.

(510) 999-0385

Certification Number

VALERIE DOWLA -PRIVATE PRACTICE-

ALAMEDA DOYLE, CAROLYN

827 BROADWAY, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number A130992

Other Languages

National Provider ID 1235440058

Accepting New Patients Yes. Referral may be required.

(510) 834-2049

Certification Number

CAROLYN DOYLE -PRIVATE PRACTICE-

ALAMEDA DOYLE, VALERIE

3756 GRAND AVE, STE 404

OAKLAND, CA 94610

Marriage and Family Therapist

CA License Number MFC53102

Other Languages

National Provider ID 1851591259

Accepting New Patients Yes. Referral may be required.

(510) 380-6146

Certification Number

VALERIE DOYLE -PRIVATE PRACTICE-

ALAMEDA DRAPIZA-DORNAN, EILEEN

1905 BERKELEY WAY,

BERKELEY, CA 94704

Marriage and Family Therapist

CA License Number MFC51665

Other Languages

National Provider ID 1881869063

Accepting New Patients Yes. Referral may be required.

(510) 859-4362

Certification Number

EILEEN DRAPIZA-DORNAN -PRIVATE PRACTI

ALAMEDA DUNN, ARLENE

919 THE ALAMEDA,

BERKELEY, CA 94707

Marriage and Family Therapist

CA License Number 36371

Other Languages

National Provider ID 1023171436

Accepting New Patients Yes. Referral may be required.

(510) 558-9494

Certification Number

ARLENE DUNN -PRIVATE PRACTICE-

ALAMEDA DURRANI, KHURRAM

5776 STONERIDGE MALL RD, STE 300

PLEASANTON, CA 94588

Psychiatrist

CA License Number 72805

Other Languages

National Provider ID 1710094057

Accepting New Patients Yes. Referral may be required.

(517) 759-5210

Certification Number

KHURRAM DURRANI -PRIVATE PRACTICE-

Page 13 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA EDWARDS, JOHN

2939 SUMMIT ST, STE 203

OAKLAND, CA 94609

Licensed Clinical Social Worker

CA License Number LCSW20729

Other Languages

National Provider ID 1386902021

Accepting New Patients Yes. Referral may be required.

(510) 213-9284

Certification Number

JOHN EDWARDS -PRIVATE PRACTICE-

ALAMEDA EHRENHAFT, ELLEN

5489 TAFT AVE

OAKLAND, CA 94618

Marriage and Family Therapist

CA License Number LCS19778

Other Languages

National Provider ID 1619017613

Accepting New Patients Yes. Referral may be required.

(510) 851-5881

Certification Number

ELLEN EHRENHAFT -PRIVATE PRACTICE-

ALAMEDA EISELMAN, GAIL

49 PARK WAY,

PIEDMONT, CA 94611

Marriage and Family Therapist

CA License Number MFC18300

Other Languages

National Provider ID 1699708404

Accepting New Patients Yes. Referral may be required.

(510) 653-6111

Certification Number

GAIL EISELMAN -PRIVATE PRACTICE-

ALAMEDA ETEMADIEH, FARNAZ

5 COMMODORE DR, APT B306

EMERYVILLE, CA 94608

Marriage and Family Therapist

CA License Number 24888

Other Languages FARSI

National Provider ID 1760594915

Accepting New Patients Yes. Referral may be required.

(510) 655-5727

Certification Number

FARNAZ ETEMADIEH -PRIVATE PRACTICE-

ALAMEDA EVERED, LAEEQ

2728 DURANT AVE,

BERKELEY, CA 94704

Psychologist

CA License Number PSY18494

Other Languages

National Provider ID 1619050069

Accepting New Patients Yes. Referral may be required.

(510) 543-6836

Certification Number

LAEEQ EVERED -PRIVATE PRACTICE-

ALAMEDA FAIR, GARDNER

1904 FRANKLIN ST, STE 703

OAKLAND, CA 94612

Marriage and Family Therapist

CA License Number MFC44741

Other Languages

National Provider ID 1255526182

Accepting New Patients Yes. Referral may be required.

(510) 927-7251

Certification Number

GARDNER FAIR

Page 14 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA FENOLD, JOAN

2305 ASHBY AVE,

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number 20021

Other Languages

National Provider ID 1992893937

Accepting New Patients Yes. Referral may be required.

(510) 848-3372

Certification Number

JOAN FENOLD -PRIVATE PRACTICE-

ALAMEDA FIORE, NEIL

1496 SOLANO AVE,

ALBANY, CA 94706

Psychologist

CA License Number 4603

Other Languages

National Provider ID 1174668198

Accepting New Patients Yes. Referral may be required.

(510) 525-2673

Certification Number

NEIL FIORE -PRIVATE PRACTICE-

ALAMEDA FISHER, DAVID

1806 MLK JR. WAY, STE 4

BERKELEY, CA 94709

Marriage and Family Therapist

CA License Number MFC18845

Other Languages

National Provider ID 1972685659

Accepting New Patients Yes. Referral may be required.

(510) 548-1916

Certification Number

DAVID FISHER -PRIVATE PRACTICE-

ALAMEDA FISHER, DAVID

1806 MLK JR. WAY, #4

BERKELEY, CA 94709

Marriage and Family Therapist

CA License Number MF18845

Other Languages

National Provider ID 1972685659

Accepting New Patients Yes. Referral may be required.

(510) 548-1916

Certification Number

DAVID FISHER -PRIVATE PRACTICE-

ALAMEDA FLANNES, STEVEN

5305 COLLEGE AVE,

OAKLAND, CA 94618

Psychologist

CA License Number PSY00007139

Other Languages

National Provider ID 1881785145

Accepting New Patients Yes. Referral may be required.

(510) 339-7095

Certification Number

STEVEN FLANNES -PRIVATE PRACTICE-

ALAMEDA FLOYD, ANJUELLE

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number 36015

Other Languages

National Provider ID 1982093514

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

ANJUELLE FLOYD -PRIVATE PRACTICE-

Page 15 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA FOSTER, HILARY

2340 WARD ST, STE 101

BERKELEY, CA 94705

Psychologist

CA License Number 20338

Other Languages

National Provider ID 1306026422

Accepting New Patients Yes. Referral may be required.

(415) 722-4522

Certification Number

HILARY FOSTER -PRIVATE PRACTICE-

ALAMEDA FRANKLIN, AUDREY

5625 COLLEGE AVE, STE 210C

OAKLAND, CA 94618

Psychologist

CA License Number PSY12620

Other Languages

National Provider ID 1841300639

Accepting New Patients Yes. Referral may be required.

(510) 524-7862

Certification Number

AUDREY FRANKLIN -PRIVATE PRACTICE-

ALAMEDA FRANKLIN, LESLEIGH

411 30TH ST, STE 305

OAKLAND, CA 94609

Psychologist

CA License Number PSY17471

Other Languages SPANISH SPANISH

National Provider ID 1962548818

Accepting New Patients Yes. Referral may be required.

(415) 515-4281

Certification Number

LESLEIGH FRANKLIN -PRIVATE PRACTICE-

ALAMEDA FREEDMAN, LISA

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number 50947

Other Languages

National Provider ID 1497822035

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

LISA FREEDMAN -PRIVATE PRACTICE-

ALAMEDA FRICK, CHRISTINE

2811 CASTRO VALLEY BLVD, STE 111

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number MFC00034763

Other Languages

National Provider ID 1912913104

Accepting New Patients Yes. Referral may be required.

(510) 583-5686

Certification Number

CHRISTINE FRICK -PRIVATE PRACTICE-

ALAMEDA FRIEND, DANICE

1315 CLARKE ST, STE C

SAN LEANDRO, CA 94577

Psychologist

CA License Number 18810

Other Languages

National Provider ID 1750469425

Accepting New Patients Yes. Referral may be required.

(510) 351-1257

Certification Number

DANICE J FRIEND PHD

Page 16 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA FRIESEN, JANICE

27212 CALAROGA AVE,

HAYWARD, CA 94545

Licensed Clinical Social Worker

CA License Number LCS3595

Other Languages SPANISH

National Provider ID 1770504839

Accepting New Patients Yes. Referral may be required.

(510) 293-5603

Certification Number

JANICE FRIESEN -PRIVATE PRACTICE-

ALAMEDA FUNK, DARICE

111 MYRTLE ST, 3RD FLOOR

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number 48842

Other Languages

National Provider ID 1609946144

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

DARICE FUNK -PRIVATE PRACTICE-

ALAMEDA GAISER, PAUL

230 GRAND AVE, STE 304

OAKLAND, CA 94610

Psychologist

CA License Number PSY20325

Other Languages

National Provider ID 1275654824

Accepting New Patients Yes. Referral may be required.

(510) 390-0399

Certification Number

PAUL GAISER -PRIVATE PRACTICE-

ALAMEDA GAISER, PAUL

1124 BALLENA BLVD,

ALAMEDA, CA 94501

Psychologist

CA License Number PSY20325

Other Languages

National Provider ID 1275654824

Accepting New Patients Yes. Referral may be required.

(510) 390-0399

Certification Number

PAUL GAISER -PRIVATE PRACTICE-

ALAMEDA GALLAND, VICTORIA

902 CARMEL AVE,

ALBANY, CA 94706

Psychologist

CA License Number PSY5706

Other Languages

National Provider ID 1891831699

Accepting New Patients Yes. Referral may be required.

(510) 527-6298

Certification Number

VICTORIA GALLAND -PRIVATE PRACTICE-

ALAMEDA GALVEZ-BUCCOLLINI, JUAN

5776 STONERIDGE MALL RD, STE 300

PLEASANTON, CA 94588

Psychiatrist

CA License Number A118972

Other Languages

National Provider ID 1164673455

Accepting New Patients Yes. Referral may be required.

(925) 556-6274

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATES DU

Page 17 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA GALVEZ-BUCCOLLINI, JUAN

39899 BALENTINE DR, STE 210

NEWARK, CA 94560

Psychiatrist

CA License Number A118972

Other Languages

National Provider ID 1164673455

Accepting New Patients Yes. Referral may be required.

(510) 657-9700

Certification Number

JUAN GALVEZ-BUCCOLLINI -PRIVATE PRAC

ALAMEDA GALVEZ-BUCCOLLINI, JUAN

827 BROADWAY, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number A118972

Other Languages

National Provider ID 1164673455

Accepting New Patients Yes. Referral may be required.

(510) 834-2049

Certification Number

JUAN GALVEZ-BUCCOLLINI -PRIVATE PRAC

ALAMEDA GAYLE, GREGORY

2940 SUMMIT ST

OAKLAND, CA 94609

Psychologist

CA License Number PSY140151162

Other Languages

National Provider ID 1194058925

Accepting New Patients Yes. Referral may be required.

(510) 985-4085

Certification Number

GREGORY GAYLE -PRIVATE PRACTICE-

ALAMEDA GEE, LEELIND

39885 PASEO PADRE PKWY,

FREMONT, CA 94538

Marriage and Family Therapist

CA License Number MFT43332

Other Languages

National Provider ID 1598979304

Accepting New Patients Yes. Referral may be required.

(510) 334-3422

Certification Number

LEELIND GEE -PRIVATE PRACTICE-

ALAMEDA GELBART, MICHAEL

333 ESTUDILLO AVE, STE 206

SAN LEANDRO, CA 94577

Licensed Clinical Social Worker

CA License Number LCS00013607

Other Languages

National Provider ID 1992785042

Accepting New Patients Yes. Referral may be required.

(510) 357-2527

Certification Number

MICHAEL GELBART -PRIVATE PRACTICE-

ALAMEDA GENTILE, AMY

5835 COLLEGE AVE, STE C1

OAKLAND, CA 94618

Psychologist

CA License Number PSY11424

Other Languages

National Provider ID 1962508283

Accepting New Patients Yes. Referral may be required.

(510) 654-5146

Certification Number

AMY GENTILE, PHD

Page 18 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA GHILARDI, LOUIS

3581 HELEN DR,

PLEASANTON, CA 94588

Marriage and Family Therapist

CA License Number MFT16302

Other Languages

National Provider ID 1154355394

Accepting New Patients Yes. Referral may be required.

(925) 462-0220

Certification Number

LOUIS GHILARDI -PRIVATE PRACTICE-

ALAMEDA GHILARDI, LOUIS

1811 SANTA RITA RD, STE 216

PLEASANTON, CA 94566

Marriage and Family Therapist

CA License Number MFT16302

Other Languages

National Provider ID 1154355394

Accepting New Patients Yes. Referral may be required.

(925) 462-0220

Certification Number

LOUIS GHILARDI -PRIVATE PRACTICE-

ALAMEDA GILDERSLEEVE, ANN

1980 MOUNTAIN BLVD, STE 201

OAKLAND, CA 94611

Psychologist

CA License Number PS7989

Other Languages

National Provider ID 1588653067

Accepting New Patients Yes. Referral may be required.

(510) 339-2333

Certification Number

ANN GILDERSLEEVE -PRIVATE PRACTICE-

ALAMEDA GILLEAN, JOHN

3300 WEBSTER ST, STE 402

OAKLAND, CA 94609

Psychiatrist

CA License Number A141657

Other Languages

National Provider ID 1528378460

Accepting New Patients Yes. Referral may be required.

(844) 867-8444

Certification Number

JOHN GILLEAN -PRIVATE PRACTICE-

ALAMEDA GIN, KELLEY

2711 ALCATRAZ AVE, STE 2

BERKELEY, CA 94705

Psychologist

CA License Number 20624

Other Languages

National Provider ID 1194870949

Accepting New Patients Yes. Referral may be required.

(510) 219-7091

Certification Number

KELLEY GIN -PRIVATE PRACTICE-

ALAMEDA GLIGAN, SONIA

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Licensed Clinical Social Worker

CA License Number LCS67586

Other Languages

National Provider ID 1871873802

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

SONIA GLIGAN -PRIVATE PRACTICE-

Page 19 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA GOLD, STUART

921 THE ALAMEDA, STE 106

BERKELEY, CA 94707

Psychiatrist

CA License Number 25113

Other Languages

National Provider ID 1952477135

Accepting New Patients Yes. Referral may be required.

(510) 841-5800

Certification Number

STUART GOLD -PRIVATE PRACTICE-

ALAMEDA GOLDSTEIN, VIRGINIE

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number 45547

Other Languages

National Provider ID 1396982013

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

VIRGINIE GOLDSTEIN -PRIVATE PRACTICE-

ALAMEDA GORALNICK, JAIMIE

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number 128245

Other Languages

National Provider ID 1225295900

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

JAIMIE GORALNICK -PRIVATE PRACTICE-

ALAMEDA GOTTFRIED, CARYN

21847 REDWOOD RD

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number MFT18876

Other Languages

National Provider ID 1447366497

Accepting New Patients Yes. Referral may be required.

(510) 531-0947

Certification Number

CARYN GOTTFRIED -PRIVATE PRACTICE-

ALAMEDA GRAYSON, KELLEN

2608 CENTRAL AVE, STE 1

UNION CITY, CA 94587

Marriage and Family Therapist

CA License Number 50074

Other Languages

National Provider ID 1912119934

Accepting New Patients Yes. Referral may be required.

(510) 675-0600

Certification Number

KELLEN GRAYSON -PRIVATE PRACTICE-

ALAMEDA GREEN, JULIA

3788 LAKESHORE AVE,

OAKLAND, CA 94610

Licensed Clinical Social Worker

CA License Number LCS00007078

Other Languages

National Provider ID 1588712293

Accepting New Patients Yes. Referral may be required.

(510) 220-1934

Certification Number

JULIA GREEN -PRIVATE PRACTICE-

Page 20 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA GREENSTEIN, BARBARA

1619 SEABORN CT,

ALAMEDA, CA 94501

Psychologist

CA License Number PSY7715

Other Languages

National Provider ID 1861414245

Accepting New Patients Yes. Referral may be required.

(510) 521-1958

Certification Number

BARBARA GREENSTEIN PHD

ALAMEDA GREENSTEIN, BARBARA

1416 EVERETT ST, STE A

ALAMEDA, CA 94501

Psychologist

CA License Number PSY7715

Other Languages

National Provider ID 1861414245

Accepting New Patients Yes. Referral may be required.

(510) 521-1958

Certification Number

BARBARA GREENSTEIN PHD

ALAMEDA GREGAN-VER, ANNE

2208 SAN LEANDRO BLVD,

SAN LEANDRO, CA 94577

Marriage and Family Therapist

CA License Number MFC22224

Other Languages SPANISH

National Provider ID 1780876565

Accepting New Patients Yes. Referral may be required.

(510) 483-6715

Certification Number

FAMILY SERVICE COUNSELING CENT

ALAMEDA HAAVIK, PAMELA

20212 REDWOOD RD, STE 103B

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number 32662

Other Languages

National Provider ID 1104024389

Accepting New Patients Yes. Referral may be required.

(510) 828-4597

Certification Number

PAMELA HAAVIK -PRIVATE PRACTICE-

ALAMEDA HALL, ARTHUR

225 W WINTON AVE, STE 202D

HAYWARD, CA 94544

Psychologist

CA License Number 21223

Other Languages

National Provider ID 1801038658

Accepting New Patients Yes. Referral may be required.

(510) 887-0833

Certification Number

ARTHUR HALL -PRIVATE PRACTICE-

ALAMEDA HALPERT, STEPHEN

2991 SHATTUCK AVE, STE 303

BERKELEY, CA 94705

Psychologist

CA License Number 17953

Other Languages

National Provider ID 1386633725

Accepting New Patients Yes. Referral may be required.

(510) 848-2921

Certification Number

STEPHEN HALPERT -PRIVATE PRACTICE-

Page 21 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA HALSEY, CHRISTINA

3873 HOWE ST,

OAKLAND, CA 94611

Psychologist

CA License Number PSY13197

Other Languages

National Provider ID 1922211028

Accepting New Patients Yes. Referral may be required.

(510) 658-1211

Certification Number

CHRISTINA HALSEY -PRIVATE PRACTICE-

ALAMEDA HAMEL, JOHN

1708 SHATTUCK AVE, STE 9

BERKELEY, CA 94709

Licensed Clinical Social Worker

CA License Number 15194

Other Languages

National Provider ID 1548329501

Accepting New Patients Yes. Referral may be required.

(925) 930-0900

Certification Number

JOHN HAMEL -PRIVATE PRACTICE-

ALAMEDA HAMIEL, GENOA

2000 HEARST AVE, STE 203A

BERKELEY, CA 94709

Marriage and Family Therapist

CA License Number LMFT92619

Other Languages

National Provider ID 1730530601

Accepting New Patients Yes. Referral may be required.

(510) 981-1471

Certification Number

GENOA HAMIEL -PRIVATE PRACTICE-

ALAMEDA HAMILTON, DOREEN

1700 SOLANO AVE, STE F

BERKELEY, CA 94707

Psychologist

CA License Number 12799

Other Languages

National Provider ID 1598936957

Accepting New Patients Yes. Referral may be required.

(510) 524-4055

Certification Number

DOREEN HAMILTON -PRIVATE PRACTICE-

ALAMEDA HARKER, LEEANNE

1430 2ND ST,

LIVERMORE, CA 94550

Psychologist

CA License Number PSY18961

Other Languages

National Provider ID 1821326216

Accepting New Patients Yes. Referral may be required.

(925) 667-5085

Certification Number

LEEANNE HARKER -PRIVATE PRACTICE-

ALAMEDA HARRIS, HIAWATHA

1700 BROADWAY, #5

OAKLAND, CA 94612

Psychiatrist

CA License Number C22371

Other Languages

National Provider ID 1780722488

Accepting New Patients Yes. Referral may be required.

(510) 273-4200

Certification Number

HIAWATHA HARRIS -PRIVATE PRACTICE-

Page 22 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA HARRIS-THOMAS, STACIE

3671 GRAND AVE,

OAKLAND, CA 94610

Psychologist

CA License Number PSY00017974

Other Languages

National Provider ID 1932265170

Accepting New Patients Yes. Referral may be required.

(510) 393-1086

Certification Number

STACIE HARRIS-THOMAS -PRIVATE PRACTI

ALAMEDA HART, BARBARA

1527 CALIFORNIA ST,

BERKELEY, CA 94703

Psychologist

CA License Number PSY12339

Other Languages

National Provider ID 1104981281

Accepting New Patients Yes. Referral may be required.

(510) 524-0226

Certification Number

BARBARA HART -PRIVATE PRACTICE-

ALAMEDA HATCH, KATHERINE

11740 DUBLIN BLVD, STE 206

DUBLIN, CA 94568

Psychologist

CA License Number PSY9783

Other Languages

National Provider ID 1316973316

Accepting New Patients Yes. Referral may be required.

(925) 551-5945

Certification Number

KATHERINE HATCH -PRIVATE PRACTICE-

ALAMEDA HATCH, KATHERINE

2955 SHATTUCK AVE, STE 7

BERKELEY, CA 94705

Psychologist

CA License Number PSY9783

Other Languages

National Provider ID 1316973316

Accepting New Patients Yes. Referral may be required.

(510) 649-8929

Certification Number

KATHERINE HATCH -PRIVATE PRACTICE-

ALAMEDA HE, FRANCES

2397 SHATTUCK AVE,

BERKELEY, CA 94704

Psychologist

CA License Number PSY18377

Other Languages CHINESE

National Provider ID 1053536722

Accepting New Patients Yes. Referral may be required.

(415) 506-8181

Certification Number

FRANCES HE -PRIVATE PRACTICE-

ALAMEDA HEO, EILEEN

465 34TH ST

OAKLAND, CA 94609

Licensed Clinical Social Worker

CA License Number 7854

Other Languages

National Provider ID 1437212438

Accepting New Patients Yes. Referral may be required.

(510) 595-3533

Certification Number

EILEEN HEO -PRIVATE PRACTICE-

Page 23 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA HEO, EILEEN

465 34TH ST,

OAKLAND, CA 94609

Licensed Clinical Social Worker

CA License Number 7854

Other Languages

National Provider ID 1437212438

Accepting New Patients Yes. Referral may be required.

(510) 595-3533

Certification Number

EILEEN HEO -PRIVATE PRACTICE-

ALAMEDA HERNES, REETA

3179 COLLEGE AVE, 2B

BERKELEY, CA 94705

Psychologist

CA License Number PSY27307

Other Languages

National Provider ID 1477719920

Accepting New Patients Yes. Referral may be required.

(925) 979-5530

Certification Number

REETA HERNES -PRIVATE PRACTICE-

ALAMEDA HERON, SARA

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number A112236

Other Languages

National Provider ID 1417103383

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

SARA HERON -PRIVATE PRACTICE-

ALAMEDA HESS, KATHLEEN

1225 MARIN AVE,

ALBANY, CA 94706

Psychologist

CA License Number PSY16573

Other Languages

National Provider ID 1609962414

Accepting New Patients Yes. Referral may be required.

(510) 528-9355

Certification Number

KATHLEEN HESS -PRIVATE PRACTICE-

ALAMEDA HICKMAN, NORVAL

2940 SUMMIT ST, STE 2D

OAKLAND, CA 94609

Psychologist

CA License Number PSY24866

Other Languages

National Provider ID 1356872824

Accepting New Patients Yes. Referral may be required.

(510) 982-1000

Certification Number

NORVAL HICKMAN -PRIVATE PRACTICE-

ALAMEDA HIRD, CARIN

5835 COLLEGE AVE, STE D

OAKLAND, CA 94618

Marriage and Family Therapist

CA License Number MFC00036731

Other Languages

National Provider ID 1659465599

Accepting New Patients Yes. Referral may be required.

(510) 297-4086

Certification Number

CARIN HIRD -PRIVATE PRACTICE-

Page 24 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA HO, GRACE

3775 BEACON AVE,

FREMONT, CA 94538

Psychologist

CA License Number PSY20942

Other Languages CHINESE TAGALOG MANDARIN

National Provider ID 1154533602

Accepting New Patients Yes. Referral may be required.

(510) 449-3386

Certification Number

GRACE HO -PRIVATE PRACTICE-

ALAMEDA HOVDA, BIANCA

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number MFT90952

Other Languages SPANISH

National Provider ID 1558674267

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

BIANCA HOVDA -PRIVATE PRACTICE-

ALAMEDA HOWARD, JANET

4283 PIEDMONT AVE, STE A3

OAKLAND, CA 94611

Marriage and Family Therapist

CA License Number 13990

Other Languages

National Provider ID 1487620142

Accepting New Patients Yes. Referral may be required.

(925) 945-2486

Certification Number

WALNUT CREEK COUNSELING ASSOCI

ALAMEDA HUI, TIM

24100 AMADOR ST,

HAYWARD, CA 94544

Marriage and Family Therapist

CA License Number MFC31260

Other Languages

National Provider ID 1184773269

Accepting New Patients Yes. Referral may be required.

(510) 206-8804

Certification Number

TIM HUI -PRIVATE PRACTICE-

ALAMEDA IBRAHIMI, SAID

5776 STONERIDGE MALL RD, STE 300

PLEASANTON, CA 94588

Psychiatrist

CA License Number A129171

Other Languages

National Provider ID 1740560861

Accepting New Patients Yes. Referral may be required.

(888) 576-6772

Certification Number

SAID IBRAHIMI -PRIVATE PRACTICE-

ALAMEDA IBRAHIMI, SAID

39899 BALENTINE DR, STE 210

NEWARK, CA 94560

Psychiatrist

CA License Number A129171

Other Languages

National Provider ID 1740560861

Accepting New Patients Yes. Referral may be required.

(510) 657-9700

Certification Number

SAID IBRAHIMI -PRIVATE PRACTICE-

Page 25 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA JACKSON-GARBER, DEVERA

3541 JAMISON WAY,

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number 38795

Other Languages

National Provider ID 1477676096

Accepting New Patients Yes. Referral may be required.

(510) 984-6263

Certification Number

DEVERA JACKSON-GARBER -PRIVATE PRAC

ALAMEDA JACQUES, CHERYL

5665 COLLEGE AVE, STE 320A

OAKLAND, CA 94618

Psychologist

CA License Number PSY20063

Other Languages

National Provider ID 1003847732

Accepting New Patients Yes. Referral may be required.

(510) 653-0678

Certification Number

DR CHERYL JACQUES PSYD

ALAMEDA JAGEL, JADU

1942 UNIVERSITY AVE, STE 306

BERKELEY, CA 94704

Psychologist

CA License Number 23468

Other Languages

National Provider ID 1003979477

Accepting New Patients Yes. Referral may be required.

(510) 868-2526

Certification Number

JADU JAGEL -PRIVATE PRACTICE-

ALAMEDA JAGEL, JADU

5665 COLLEGE AVE, STE 220C

OAKLAND, CA 94618

Psychologist

CA License Number 23468

Other Languages

National Provider ID 1003979477

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JADU JAGEL -PRIVATE PRACTICE-

ALAMEDA JAGEL, JADU

5665 COLLEGE AVE, STE 220C

OAKLAND, CA 94618

Psychologist

CA License Number 23468

Other Languages

National Provider ID 1003979477

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JADU JAGEL -PRIVATE PRACTICE-

ALAMEDA JAHANGIRI, MOHAMMAD

39420 LIBERTY ST, STE 265

FREMONT, CA 94538

Psychiatrist

CA License Number A56400

Other Languages HINDI

National Provider ID 1720266760

Accepting New Patients Yes. Referral may be required.

(510) 744-3688

Certification Number

MOHAMMAD JAHANGIRI -PRIVATE PRACTIC

Page 26 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA JAMESON JR, DOUGLAS

6097 CLAREMONT AVE,

OAKLAND, CA 94618

Psychologist

CA License Number PSY19189

Other Languages

National Provider ID 1023031515

Accepting New Patients Yes. Referral may be required.

(510) 301-2712

Certification Number

DOUGLAS JAMESON JR -PRIVATE PRACTIC

ALAMEDA JENKINS, PAMELA

33 EMBARCADERO CV

OAKLAND, CA 94606

Psychologist

CA License Number PSY20240

Other Languages

National Provider ID 1578591863

Accepting New Patients Yes. Referral may be required.

(415) 637-0695

Certification Number

PAMELA JENKINS -PRIVATE PRACTICE-

ALAMEDA JOHNSON, NINA

20200 REDWOOD RD, STE 8

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number MFC21535

Other Languages

National Provider ID 1982753513

Accepting New Patients Yes. Referral may be required.

(510) 581-2522

Certification Number

NINA JOHNSON -PRIVATE PRACTICE-

ALAMEDA JONES, JANICE

2220 MOUNTAIN BLVD, STE 240

OAKLAND, CA 94611

Psychiatrist

CA License Number A40698

Other Languages

National Provider ID 1134292014

Accepting New Patients Yes. Referral may be required.

(510) 482-8021

Certification Number

JANICE JONES -PRIVATE PRACTICE-

ALAMEDA JONES, MARVIN

465 34TH ST,

OAKLAND, CA 94609

Licensed Clinical Social Worker

CA License Number LCSW3957

Other Languages

National Provider ID 1700990892

Accepting New Patients Yes. Referral may be required.

(510) 658-3364

Certification Number

MARVIN JONES -PRIVATE PRACTICE-

ALAMEDA JONES, MARVIN

465 34TH ST

OAKLAND, CA 94609

Licensed Clinical Social Worker

CA License Number LCSW3957

Other Languages

National Provider ID 1700990892

Accepting New Patients Yes. Referral may be required.

(510) 658-3364

Certification Number

MARVIN JONES -PRIVATE PRACTICE-

Page 27 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA JOSEPH, JAY

5478A COLLEGE AVE,

OAKLAND, CA 94618

Psychologist

CA License Number PSY18905

Other Languages SPANISH

National Provider ID 1871657205

Accepting New Patients Yes. Referral may be required.

(510) 295-5490

Certification Number

JAY JOSEPH PSYD

ALAMEDA JOSEPH, JAY

22320 FOOTHILL BLVD, STE 428

HAYWARD, CA 94541

Psychologist

CA License Number PSY18905

Other Languages SPANISH

National Provider ID 1871657205

Accepting New Patients Yes. Referral may be required.

(510) 295-5490

Certification Number

JAY JOSEPH PSYD

ALAMEDA JOSLYN, FRANCES

485 WASHBURN DR,

FREMONT, CA 94536

Psychologist

CA License Number PSY11206

Other Languages

National Provider ID 1629018437

Accepting New Patients Yes. Referral may be required.

(510) 793-9413

Certification Number

FRANCES JOSLYN -PRIVATE PRACTICE-

ALAMEDA JOSLYN, FRANCES

39111 PASEO PADRE PKWY, STE 203

FREMONT, CA 94538

Psychologist

CA License Number PSY11206

Other Languages

National Provider ID 1629018437

Accepting New Patients Yes. Referral may be required.

(760) 315-8811

Certification Number

FRANCES JOSLYN -PRIVATE PRACTICE-

ALAMEDA KANNE, BEN

11740 DUBLIN BLVD, STE 206

DUBLIN, CA 94568

Marriage and Family Therapist

CA License Number MH18947

Other Languages

National Provider ID 1639215643

Accepting New Patients Yes. Referral may be required.

(510) 525-0505

Certification Number

BEN KANNE -PRIVATE PRACTICE-

ALAMEDA KANNE, BEN

2225 10TH ST,

BERKELEY, CA 94710

Marriage and Family Therapist

CA License Number MH18947

Other Languages

National Provider ID 1639215643

Accepting New Patients Yes. Referral may be required.

(510) 525-0505

Certification Number

BEN KANNE -PRIVATE PRACTICE-

Page 28 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA KANOFSKY, STEVEN

11740 DUBLIN BLVD, STE 206

DUBLIN, CA 94568

Psychologist

CA License Number PSY12659

Other Languages

National Provider ID 1255371472

Accepting New Patients Yes. Referral may be required.

(925) 560-1382

Certification Number

STEVEN KANOFSKY -PRIVATE PRACTICE-

ALAMEDA KAPLAN, LORI

2220 MOUNTAIN BLVD, STE 240

OAKLAND, CA 94611

Psychologist

CA License Number 14577

Other Languages

National Provider ID 1710011457

Accepting New Patients Yes. Referral may be required.

(510) 751-4921

Certification Number

LORI KAPLAN -PRIVATE PRACTICE-

ALAMEDA KAPOOR, SHILPA

11740 DUBLIN BLVD, STE 206

DUBLIN, CA 94568

Psychologist

CA License Number 26333

Other Languages

National Provider ID 1730313784

Accepting New Patients Yes. Referral may be required.

(408) 520-1002

Certification Number

SHILPA KAPOOR -PRIVATE PRACTICE-

ALAMEDA KATUALA, COLETTE

2287 WASHINGTON AVE,

SAN LEANDRO, CA 94577

Licensed Clinical Social Worker

CA License Number 29554

Other Languages

National Provider ID 1093131898

Accepting New Patients Yes. Referral may be required.

(510) 305-6656

Certification Number

COLETTE KATUALA -PRIVATE PRACTICE-

ALAMEDA KELLY, PEGGY

944 SAN BENITO RD

BERKELEY, CA 94707

Psychologist

CA License Number PSY12801

Other Languages AFRICAN

National Provider ID 1669424867

Accepting New Patients Yes. Referral may be required.

(510) 527-6108

Certification Number

PEGGY KELLY PHD

Page 29 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA KELLY, PEGGY

944 SAN BENITO RD,

BERKELEY, CA 94707

Psychologist

CA License Number PSY12801

Other Languages FRENCH AMERICAN SIGN LANGUAGE

National Provider ID 1669424867

Accepting New Patients Yes. Referral may be required.

(510) 527-6108

Certification Number

PEGGY KELLY PHD

ALAMEDA KERSEY, NANCY

405 KAINS AVE, STE 107

ALBANY, CA 94706

Marriage and Family Therapist

CA License Number MFC38508

Other Languages

National Provider ID 1467743070

Accepting New Patients Yes. Referral may be required.

(510) 717-0397

Certification Number

NANCY KERSEY -PRIVATE PRACTICE-

ALAMEDA KHALIQUE, MOHSIN

5674 STONERIDGE DR, STE 116

PLEASANTON, CA 94588

Psychiatrist

CA License Number A98212

Other Languages

National Provider ID 1124083589

Accepting New Patients Yes. Referral may be required.

(925) 463-5674

Certification Number

MOHSIN KHALIQUE -PRIVATE PRACTICE-

ALAMEDA KHAN, SHAHBAZ

39420 LIBERTY ST, STE 265

FREMONT, CA 94538

Psychiatrist

CA License Number A53269

Other Languages FARSI

National Provider ID 1619048295

Accepting New Patients Yes. Referral may be required.

(510) 744-3688

Certification Number

SHAHBAZ KHAN -PRIVATE PRACTICE-

ALAMEDA KIM-TRAN, SUZY

1134 BALLENA BLVD, STE 16

ALAMEDA, CA 94501

Licensed Clinical Social Worker

CA License Number LCS21452

Other Languages KOREAN

National Provider ID 1528254539

Accepting New Patients Yes. Referral may be required.

(510) 766-0050

Certification Number

SUZY KIM-TRAN -PRIVATE PRACTICE-

Page 30 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA KIM-TRAN, SUZY

1134 BALLENA BLVD, STE 16

ALAMEDA, CA 94501

Licensed Clinical Social Worker

CA License Number LCSW21452

Other Languages KOREAN

National Provider ID 1528254539

Accepting New Patients Yes. Referral may be required.

(510) 766-0050

Certification Number

SUZY KIM-TRAN -PRIVATE PRACTICE-

ALAMEDA KLAPPER, AMY

5605 OCEAN VIEW DR,

OAKLAND, CA 94618

Marriage and Family Therapist

CA License Number MFT31598

Other Languages

National Provider ID 1770900045

Accepting New Patients Yes. Referral may be required.

(510) 387-1153

Certification Number

AMY KLAPPER -PRIVATE PRACTICE-

ALAMEDA KLEIN, MARC

2324 SANTA RITA RD, STE 10

PLEASANTON, CA 94566

Marriage and Family Therapist

CA License Number MFC27896

Other Languages

National Provider ID 1710108477

Accepting New Patients Yes. Referral may be required.

(925) 462-6441

Certification Number

MARC KLEIN -PRIVATE PRACTICE-

ALAMEDA KLYCE, ELLEN

2220 MOUNTAIN BLVD, STE 240

OAKLAND, CA 94611

Marriage and Family Therapist

CA License Number LMFT43993

Other Languages

National Provider ID 1811147515

Accepting New Patients Yes. Referral may be required.

(510) 414-1537

Certification Number

ELLEN KLYCE -PRIVATE PRACTICE-

ALAMEDA KRAMER, GABRIELA

1940 VIRGINIA ST,

BERKELEY, CA 94709

Marriage and Family Therapist

CA License Number 23870

Other Languages ITALIAN SPANISH

National Provider ID 1518984079

Accepting New Patients Yes. Referral may be required.

(510) 841-8242

Certification Number

GABRIELA CASTELLO KRAMER

ALAMEDA KRIEGER-LOWITZ, FRAN

5845 COLLEGE AVE, STE 7

OAKLAND, CA 94618

Psychologist

CA License Number PSY8557

Other Languages

National Provider ID 1609925684

Accepting New Patients Yes. Referral may be required.

(510) 841-2007

Certification Number

FRAN KRIEGER-LOWITZ -PRIVATE PRACTIC

Page 31 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA LACUESTA, MARIA

916 INDIAN ROCK AVE,

BERKELEY, CA 94707

Licensed Clinical Social Worker

CA License Number LCS9826

Other Languages

National Provider ID 1881766517

Accepting New Patients Yes. Referral may be required.

(925) 838-2027

Certification Number

MARIA BERRIS LACUESTA LCSW

ALAMEDA LACUESTA, MARIA

916 INDIAN ROCK AVE

BERKELEY, CA 94707

Licensed Clinical Social Worker

CA License Number LCS9826

Other Languages

National Provider ID 1881766517

Accepting New Patients Yes. Referral may be required.

(925) 838-2027

Certification Number

MARIA BERRIS LACUESTA LCSW

ALAMEDA LAMBERT, KELLY

1061 EASTSHORE HWY, STE 209

BERKELEY, CA 94710

Marriage and Family Therapist

CA License Number LMFT47995

Other Languages

National Provider ID 1841414927

Accepting New Patients Yes. Referral may be required.

(650) 315-9932

Certification Number

KELLY LAMBERT -PRIVATE PRACTICE-

ALAMEDA LAPID, CATHY

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Licensed Clinical Social Worker

CA License Number 28269

Other Languages

National Provider ID 1780883926

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

CATHY LAPID -PRIVATE PRACTICE-

ALAMEDA LAUX-TRAUTWEIN, JANINE

11740 DUBLIN BLVD, STE 206

DUBLIN, CA 94568

Marriage and Family Therapist

CA License Number MFT40343

Other Languages

National Provider ID 1104094820

Accepting New Patients Yes. Referral may be required.

(510) 610-2158

Certification Number

JANINE LAUX TRAUTWEIN MFT

ALAMEDA LEUNG, AMY

1035 SAN PABLO AVE,

ALBANY, CA 94706

Psychiatrist

CA License Number A118161

Other Languages

National Provider ID 1912141300

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

AMY LEUNG -PRIVATE PRACTICE-

Page 32 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA LEVINE, DONALD

2208 SAN LEANDRO BLVD,

SAN LEANDRO, CA 94577

Marriage and Family Therapist

CA License Number 28555

Other Languages

National Provider ID 1801080338

Accepting New Patients Yes. Referral may be required.

(510) 483-6712

Certification Number

FAMILY SERVICE COUNSELING CENT

ALAMEDA LEVINE, JOSIE

2220 MOUNTAIN BLVD, STE 240

OAKLAND, CA 94611

Marriage and Family Therapist

CA License Number MFC28557

Other Languages

National Provider ID 1972576221

Accepting New Patients Yes. Referral may be required.

(510) 514-1720

Certification Number

JOSIE LEVINE -PRIVATE PRACTICE-

ALAMEDA LEVINE, RICHARD

1749 MARTIN LUTHER KING,

BERKELEY, CA 94709

Psychiatrist

CA License Number G55260

Other Languages

National Provider ID 1235283755

Accepting New Patients Yes. Referral may be required.

(510) 841-8484

Certification Number

RICHARD LEVINE -PRIVATE PRACTICE-

ALAMEDA LEVINE, SASHA

2608 CENTRAL AVE, STE 1

UNION CITY, CA 94587

Professional Clinical Counselor

CA License Number MFC84819

Other Languages

National Provider ID 1679967889

Accepting New Patients Yes. Referral may be required.

(510) 675-0600

Certification Number

SASHA LEVINE -PRIVATE PRACTICE-

ALAMEDA LEW, ELEANOR

1240 POWELL ST, STE 2C

EMERYVILLE, CA 94608

Marriage and Family Therapist

CA License Number MFC53260

Other Languages

National Provider ID 1063641306

Accepting New Patients Yes. Referral may be required.

(510) 866-4781

Certification Number

ELEANOR LEW -PRIVATE PRACTICE-

ALAMEDA LIEBERMAN, MARGEAUX

1708 SHATTUCK AVE, STE 2

BERKELEY, CA 94709

Psychologist

CA License Number PSY2007

Other Languages

National Provider ID 1356596555

Accepting New Patients Yes. Referral may be required.

(510) 289-4812

Certification Number

MARGEAUX LIEBERMAN -PRIVATE PRACTIC

Page 33 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA LIM YANKOWITZ, MARION

3215 MACARTHUR BLVD, STE 1E

OAKLAND, CA 94602

Licensed Clinical Social Worker

CA License Number LCS00007899

Other Languages

National Provider ID 1992877054

Accepting New Patients Yes. Referral may be required.

(510) 501-9752

Certification Number

MARION LIM YANKOWITZ -PRIVATE PRACTI

ALAMEDA LINDAHL, PATRICIA

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number 122494

Other Languages SPANISH

National Provider ID 1740507458

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

PATRICIA LINDAHL -PRIVATE PRACTICE-

ALAMEDA LI-REPAC, DIANA

5674 STONERIDGE DR, STE 217

PLEASANTON, CA 94588

Psychologist

CA License Number PSY8114

Other Languages

National Provider ID 1457467490

Accepting New Patients Yes. Referral may be required.

(925) 484-5602

Certification Number

DIANA LI-REPAC -PRIVATE PRACTICE-

ALAMEDA LIU, SASHA

39825 PASEO PADRE PKWY, STE B

FREMONT, CA 94538

Marriage and Family Therapist

CA License Number 48890

Other Languages CHINESE MANDARIN

National Provider ID 1891996724

Accepting New Patients Yes. Referral may be required.

(510) 874-4715

Certification Number

SASHA LIU -PRIVATE PRACTICE-

ALAMEDA LOBOVITS, DEAN

1530 5TH ST,

BERKELEY, CA 94710

Marriage and Family Therapist

CA License Number 20211

Other Languages

National Provider ID 1588682579

Accepting New Patients Yes. Referral may be required.

(510) 527-4569

Certification Number

DEAN LOBOVITS MA MFT

ALAMEDA LONDON, CATHY

20253 REDWOOD RD, #A

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number 45170

Other Languages

National Provider ID 1679783633

Accepting New Patients Yes. Referral may be required.

(510) 247-9831

Certification Number

CATHY LONDON -PRIVATE PRACTICE-

Page 34 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA LONDON, CATHY

3541 JAMISON WAY, STE 130

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number 45170

Other Languages

National Provider ID 1679783633

Accepting New Patients Yes. Referral may be required.

(510) 862-0775

Certification Number

CATHY LONDON -PRIVATE PRACTICE-

ALAMEDA LUDDEN, ERIN

111 MYRTLE ST, 3RD FLOOR

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number 53906

Other Languages

National Provider ID 1154550606

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

ERIN LUDDEN -PRIVATE PRACTICE-

ALAMEDA LUKAS, BRIAN

1235 MARIN AVE,

ALBANY, CA 94706

Psychologist

CA License Number 9835

Other Languages

National Provider ID 1962419549

Accepting New Patients Yes. Referral may be required.

(510) 644-4265

Certification Number

BRIAN LUKAS -PRIVATE PRACTICE-

ALAMEDA LUKAS, CARLY

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number MFT88544

Other Languages

National Provider ID 1114207578

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

CARLY LUKAS -PRIVATE PRACTICE-

ALAMEDA LURKIS, LOUISA

298 GRAND AVE,

OAKLAND, CA 94610

Psychologist

CA License Number 20065

Other Languages SPANISH

National Provider ID 1881884690

Accepting New Patients Yes. Referral may be required.

(510) 827-8583

Certification Number

LOUISA LURKIS -PRIVATE PRACTICE-

ALAMEDA LURKIS, LOUISA

1345 B ST,

HAYWARD, CA 94541

Psychologist

CA License Number 20065

Other Languages SPANISH

National Provider ID 1881884690

Accepting New Patients Yes. Referral may be required.

(510) 393-1581

Certification Number

LOUISA LURKIS -PRIVATE PRACTICE-

Page 35 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA MACAPAGAL, VERONICA

20284 REDWOOD RD,

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number MFC46023

Other Languages TAGALOG

National Provider ID 1215182167

Accepting New Patients Yes. Referral may be required.

(510) 921-8552

Certification Number

VERONICA MACAPAGAL -PRIVATE PRACTIC

ALAMEDA MACMILLAN, MEGAN

2340 WARD ST, STE 204

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number 31848

Other Languages HEBREW

National Provider ID 1437358272

Accepting New Patients Yes. Referral may be required.

(510) 260-7838

Certification Number

MEGAN MACMILLAN -PRIVATE PRACTICE-

ALAMEDA MAISEL, RICHARD

1530 5TH ST,

BERKELEY, CA 94710

Psychologist

CA License Number PSY00013594

Other Languages

National Provider ID 1730193822

Accepting New Patients Yes. Referral may be required.

(510) 526-2710

Certification Number

RICHARD MAISEL -PRIVATE PRACTICE-

ALAMEDA MAN, WENYAN

2060 FAIRMONT DR

SAN LEANDRO, CA 94578

Psychiatrist

CA License Number A126714

Other Languages CHINESE

National Provider ID 1932455854

Accepting New Patients Yes. Referral may be required.

(510) 346-7500

Certification Number

WENYAN MAN -PRIVATE PRACTICE-

ALAMEDA MANFIELD, JANET

2936 DOMINGO AVE, STE 4

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number MFC12774

Other Languages

National Provider ID 1770724668

Accepting New Patients Yes. Referral may be required.

(510) 333-7501

Certification Number

JANET MANFIELD -PRIVATE PRACTICE-

ALAMEDA MANFIELD, JANET

2936 DOMINGO AVE, STE 4

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number 12774

Other Languages

National Provider ID 1770724668

Accepting New Patients Yes. Referral may be required.

(925) 944-0805

Certification Number

JANET MANFIELD -PRIVATE PRACTICE-

Page 36 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA MANFIELD, JANET

2936 DOMINGO AVE, STE 4

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number MFT12774

Other Languages

National Provider ID 1770724668

Accepting New Patients Yes. Referral may be required.

(510) 333-7501

Certification Number

JANET MANFIELD -PRIVATE PRACTICE-

ALAMEDA MANGAN, SANDRA

516 OAKLAND AVE,

OAKLAND, CA 94611

Marriage and Family Therapist

CA License Number LMFT00024537

Other Languages

National Provider ID 1063431062

Accepting New Patients Yes. Referral may be required.

(510) 336-2581

Certification Number

SANDRA MANGAN -PRIVATE PRACTICE-

ALAMEDA MANGAN, SANDRA

345 ESTUDILLO AVE, STE 207

SAN LEANDRO, CA 94577

Marriage and Family Therapist

CA License Number LMFT00024537

Other Languages

National Provider ID 1063431062

Accepting New Patients Yes. Referral may be required.

(510) 336-2581

Certification Number

SANDRA MANGAN -PRIVATE PRACTICE-

ALAMEDA MARKLE, DONALD

38750 PASEO PADRE PKWY, STE A9

FREMONT, CA 94536

Marriage and Family Therapist

CA License Number MFC00008611

Other Languages

National Provider ID 1063598340

Accepting New Patients Yes. Referral may be required.

(510) 794-0772

Certification Number

DONALD MARKLE -PRIVATE PRACTICE-

ALAMEDA MASSENGILL, PAULA

3871 HOWE ST,

OAKLAND, CA 94611

Licensed Clinical Social Worker

CA License Number LCS14869

Other Languages

National Provider ID 1396178414

Accepting New Patients Yes. Referral may be required.

(510) 450-0670

Certification Number

PAULA MASSENGILL -PRIVATE PRACTICE-

ALAMEDA MAYALL, ALICE

487 S J ST,

LIVERMORE, CA 94550

Psychologist

CA License Number 14460

Other Languages

National Provider ID 1477565646

Accepting New Patients Yes. Referral may be required.

(925) 455-6696

Certification Number

ALICE MAYALL -PRIVATE PRACTICE-

Page 37 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA MCCALEB, LUCIA

230 GRAND AVE, STE 301B

OAKLAND, CA 94610

Licensed Clinical Social Worker

CA License Number 24886

Other Languages

National Provider ID 1518268846

Accepting New Patients Yes. Referral may be required.

(510) 407-2274

Certification Number

LUCIA MCCALEB -PRIVATE PRACTICE-

ALAMEDA MCCONNELL, KATHLEEN

3871 HOWE ST,

OAKLAND, CA 94611

Marriage and Family Therapist

CA License Number LMFT31451

Other Languages

National Provider ID 1295150670

Accepting New Patients Yes. Referral may be required.

(510) 652-1902

Certification Number

KATHLEEN MCCONNELL -PRIVATE PRACTIC

ALAMEDA MCCOY, SEAMUS

5674 STONERIDGE DR, STE 205

PLEASANTON, CA 94588

Professional Clinical Counselor

CA License Number NP95000954

Other Languages

National Provider ID 1083054803

Accepting New Patients Yes. Referral may be required.

(925) 520-0066

Certification Number

SEAMUS MCCOY -PRIVATE PRACTICE-

ALAMEDA MCNEAL, SHIRLEY

1543 SHATTUCK AVE, STE 203

BERKELEY, CA 94709

Psychologist

CA License Number PSY003987

Other Languages

National Provider ID 1194822999

Accepting New Patients Yes. Referral may be required.

(415) 346-8186

Certification Number

SHIRLEY MCNEAL -PRIVATE PRACTICE-

ALAMEDA MCREYNOLDS, VICKI

5478 COLLEGE AVE, STE A

OAKLAND, CA 94618

Marriage and Family Therapist

CA License Number 35770

Other Languages

National Provider ID 1548311285

Accepting New Patients Yes. Referral may be required.

(925) 631-1299

Certification Number

VICKI MCREYNOLDS -PRIVATE PRACTICE-

ALAMEDA MEIER, SYLVIA

11740 DUBLIN BLVD, STE 201

DUBLIN, CA 94568

Marriage and Family Therapist

CA License Number 34907

Other Languages

National Provider ID 1972640167

Accepting New Patients Yes. Referral may be required.

(925) 628-2257

Certification Number

SYLVIA MEIER -PRIVATE PRACTICE-

Page 38 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA MERIS, MELISSA

1398 SOLANO AVE, STE 3

ALBANY, CA 94706

Psychologist

CA License Number 10368

Other Languages

National Provider ID 1164615639

Accepting New Patients Yes. Referral may be required.

(510) 926-9964

Certification Number

MELISSA MERIS -PRIVATE PRACTICE-

ALAMEDA MERRILL, SUSAN

4440 HARBORD DR,

OAKLAND, CA 94618

Psychologist

CA License Number PSY4874

Other Languages

National Provider ID 1336176957

Accepting New Patients Yes. Referral may be required.

(510) 601-1164

Certification Number

SUSAN L MERRILL PHD

ALAMEDA MESSINGER, ELLEN

670 VERNON ST, APT 306

OAKLAND, CA 94610

Licensed Clinical Social Worker

CA License Number LCS14070

Other Languages

National Provider ID 1114028347

Accepting New Patients Yes. Referral may be required.

(510) 601-6810

Certification Number

ELLEN MESSINGER -PRIVATE PRACTICE-

ALAMEDA MICHAELSEN, RACHEL

445 BELLEVUE AVE, STE 202

OAKLAND, CA 94610

Licensed Clinical Social Worker

CA License Number 16861

Other Languages

National Provider ID 1346291572

Accepting New Patients Yes. Referral may be required.

(510) 869-7121

Certification Number

RACHEL MICHAELSEN -PRIVATE PRACTICE-

ALAMEDA MICHAELSEN, RACHEL

445 BELLEVUE AVE, STE 202

OAKLAND, CA 94610

Licensed Clinical Social Worker

CA License Number LCS16861

Other Languages

National Provider ID 1346291572

Accepting New Patients Yes. Referral may be required.

(510) 869-7121

Certification Number

RACHEL MICHAELSEN -PRIVATE PRACTICE-

ALAMEDA MILLER, MARC

1664 SOLANO AVE,

ALBANY, CA 94707

Psychologist

CA License Number 15728

Other Languages

National Provider ID 1902908650

Accepting New Patients Yes. Referral may be required.

(510) 528-4441

Certification Number

MARC MILLER -PRIVATE PRACTICE-

Page 39 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA MILLER, WENDY

20284 REDWOOD RD,

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number 21680

Other Languages

National Provider ID 1962426718

Accepting New Patients Yes. Referral may be required.

(510) 909-1857

Certification Number

WENDY MILLER -PRIVATE PRACTICE-

ALAMEDA MILLMAN, STEPHEN

5820 STONERIDGE MALL RD, STE 230

PLEASANTON, CA 94588

Psychiatrist

CA License Number C33155

Other Languages

National Provider ID 1639120579

Accepting New Patients Yes. Referral may be required.

(925) 224-7281

Certification Number

STEPHEN MILLMAN -PRIVATE PRACTICE-

ALAMEDA MIYAMOTO, SATOKO

827 BROADWAY, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number 20A8319

Other Languages

National Provider ID 1588839146

Accepting New Patients Yes. Referral may be required.

(510) 834-2049

Certification Number

SATOKO MIYAMOTO -PRIVATE PRACTICE-

ALAMEDA MOLE, ELIZABETH

5674 STONERIDGE DR, STE 205

PLEASANTON, CA 94588

Professional Clinical Counselor

CA License Number NP95000987

Other Languages

National Provider ID 1376979237

Accepting New Patients Yes. Referral may be required.

(925) 520-0066

Certification Number

ELIZABETH MOLE -PRIVATE PRACTICE-

ALAMEDA MONCADA, LILIANA

2000 HEARST AVE, STE 203A

BERKELEY, CA 94709

Licensed Clinical Social Worker

CA License Number 71385

Other Languages SPANISH

National Provider ID 1902188758

Accepting New Patients Yes. Referral may be required.

(510) 981-1471

Certification Number

LILIANA MONCADA -PRIVATE PRACTICE-

ALAMEDA MONTGOMERY, CHARLES

3100 MOWRY AVE, STE 303

FREMONT, CA 94538

Psychiatrist

CA License Number A69876

Other Languages

National Provider ID 1689730772

Accepting New Patients Yes. Referral may be required.

(925) 736-8584

Certification Number

CHARLES MONTGOMERY -PRIVATE PRACTI

Page 40 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA MOPPINS, MELISSA

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Licensed Clinical Social Worker

CA License Number 24974

Other Languages

National Provider ID 1225196793

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

MELISSA MOPPINS -PRIVATE PRACTICE-

ALAMEDA MOSQUEDA, MARIA

39791 PASEO PADRE PKWY, STE E

FREMONT, CA 94538

Marriage and Family Therapist

CA License Number MFT82439

Other Languages SPANISH

National Provider ID 1134355464

Accepting New Patients Yes. Referral may be required.

(925) 695-7319

Certification Number

MARIA MOSQUEDA -PRIVATE PRACTICE-

ALAMEDA MOYERS, JAMES

1345 B ST

HAYWARD, CA 94541

Marriage and Family Therapist

CA License Number MFC21697

Other Languages

National Provider ID 1508885609

Accepting New Patients Yes. Referral may be required.

(510) 843-2424

Certification Number

JAMES MOYERS -PRIVATE PRACTICE-

ALAMEDA MOYERS, JAMES

2424 DWIGHT WAY, STE 1

BERKELEY, CA 94704

Marriage and Family Therapist

CA License Number MFC21697

Other Languages

National Provider ID 1508885609

Accepting New Patients Yes. Referral may be required.

(510) 843-2424

Certification Number

JAMES MOYERS -PRIVATE PRACTICE-

ALAMEDA MUKHERJEE, UDAY

5674 STONERIDGE DR, STE 119

PLEASANTON, CA 94588

Psychiatrist

CA License Number 81816

Other Languages

National Provider ID 1659457075

Accepting New Patients Yes. Referral may be required.

(925) 460-0500

Certification Number

UDAY MUKHERJEE -PRIVATE PRACTICE-

ALAMEDA MURRELL, GINA

925 THE ALAMEDA, STE 16

BERKELEY, CA 94707

Psychologist

CA License Number PSY22140

Other Languages

National Provider ID 1780817296

Accepting New Patients Yes. Referral may be required.

(510) 205-3711

Certification Number

GINA MURRELL -PRIVATE PRACTICE-

Page 41 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA NAAS, MARK

3873 PIEDMONT AVE, STE 2

OAKLAND, CA 94611

Psychologist

CA License Number PSY19156

Other Languages

National Provider ID 1427156850

Accepting New Patients Yes. Referral may be required.

(925) 203-5810

Certification Number

MARK NAAS -PRIVATE PRACTICE-

ALAMEDA NEMENYI, FERN

2607 ALCATRAZ AVE, STE 4

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number 24054

Other Languages

National Provider ID 1194745034

Accepting New Patients Yes. Referral may be required.

(510) 654-9448

Certification Number

FERN NEMENYI -PRIVATE PRACTICE-

ALAMEDA NEMIROW, BRUCE

917 THE ALAMEDA,

BERKELEY, CA 94707

Psychologist

CA License Number PSY7778

Other Languages

National Provider ID 1780662825

Accepting New Patients Yes. Referral may be required.

(510) 524-2082

Certification Number

BRUCE NEMIROW -PRIVATE PRACTICE-

ALAMEDA NEMIROW, MARGARET

917 THE ALAMEDA,

BERKELEY, CA 94707

Psychologist

CA License Number PSY7773

Other Languages

National Provider ID 1720066863

Accepting New Patients Yes. Referral may be required.

(510) 524-2082

Certification Number

MARGARET NEMIROW -PRIVATE PRACTICE-

ALAMEDA NEZAMI, ROBERT

39420 LIBERTY ST, STE 265

FREMONT, CA 94538

Psychiatrist

CA License Number A92147

Other Languages

National Provider ID 1184827719

Accepting New Patients Yes. Referral may be required.

(510) 744-3688

Certification Number

ROBERT NEZAMI -PRIVATE PRACTICE-

ALAMEDA NGUYEN, MINH

1942 UNIVERSITY AVE, STE 306

BERKELEY, CA 94704

Psychiatrist

CA License Number A125388

Other Languages VIETNAMESE

National Provider ID 1851731889

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MINH NGUYEN -PRIVATE PRACTICE-

Page 42 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA NOSSARDI, KARA

3457 OAK KNOLL BLVD

OAKLAND, CA 94605

Marriage and Family Therapist

CA License Number MFC83928

Other Languages SPANISH

National Provider ID 1447645965

Accepting New Patients Yes. Referral may be required.

(510) 388-4725

Certification Number

KARA NOSSARDI -PRIVATE PRACTICE-

ALAMEDA NYAMORA, CORY

2000 HEARST AVE, STE 203A

BERKELEY, CA 94709

Psychologist

CA License Number 20441

Other Languages SWAHILI

National Provider ID 1710044375

Accepting New Patients Yes. Referral may be required.

(510) 981-1471

Certification Number

CORY NYAMORA -PRIVATE PRACTICE-

ALAMEDA O NEAL, HARRIET

2233 SANTA CLARA AVE,

ALAMEDA, CA 94501

Psychologist

CA License Number PSY8301

Other Languages

National Provider ID 1992827620

Accepting New Patients Yes. Referral may be required.

(415) 512-7002

Certification Number

HARRIET O NEAL -PRIVATE PRACTICE-

ALAMEDA OAKLEY, DANIEL

39210 STATE ST, STE 100

FREMONT, CA 94538

Psychologist

CA License Number 23659

Other Languages

National Provider ID 1568742567

Accepting New Patients Yes. Referral may be required.

(510) 894-4456

Certification Number

DANIEL OAKLEY -PRIVATE PRACTICE-

ALAMEDA OBOLNIKOV, MARINA

1700 BROADWAY, FL 5TH

OAKLAND, CA 94612

Psychiatrist

CA License Number A91716

Other Languages

National Provider ID 1174732713

Accepting New Patients Yes. Referral may be required.

(510) 273-4200

Certification Number

MARINA OBOLNIKOV -PRIVATE PRACTICE-

ALAMEDA O'CONNELL, SRIJANA

39899 BALENTINE DR, STE 210

NEWARK, CA 94560

Psychiatrist

CA License Number 142844

Other Languages

National Provider ID 1598043648

Accepting New Patients Yes. Referral may be required.

(510) 657-9700

Certification Number

SRIJANA O'CONNELL -PRIVATE PRACTICE-

Page 43 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA OEHRLE, NANCY

2458 ANCONA CIR,

LIVERMORE, CA 94550

Psychologist

CA License Number PSY16168

Other Languages SPANISH

National Provider ID 1790711901

Accepting New Patients Yes. Referral may be required.

(925) 583-4017

Certification Number

NANCY OEHRLE -PRIVATE PRACTICE-

ALAMEDA OLMSTED, REBECCA

5845 COLLEGE AVE, STE 2

OAKLAND, CA 94618

Marriage and Family Therapist

CA License Number MFT52271

Other Languages

National Provider ID 1992945133

Accepting New Patients Yes. Referral may be required.

(510) 863-4795

Certification Number

REBECCA OLMSTED -PRIVATE PRACTICE-

ALAMEDA OUTLAW, JASEON

13847 E 14TH ST, STE 202

SAN LEANDRO, CA 94578

Psychologist

CA License Number PSY23676

Other Languages

National Provider ID 1861747552

Accepting New Patients Yes. Referral may be required.

(510) 463-1302

Certification Number

JASEON OUTLAW -PRIVATE PRACTICE-

ALAMEDA PAN, YU

39210 STATE ST, STE 109

FREMONT, CA 94538

Psychologist

CA License Number 23449

Other Languages MANDARIN VIETNAMESE

National Provider ID 1174716641

Accepting New Patients Yes. Referral may be required.

(510) 818-0892

Certification Number

YU PAN -PRIVATE PRACTICE-

ALAMEDA PARADOWSKI, PAMELA

39803 PASEO PADRE PKWY, STE D

FREMONT, CA 94538

Psychologist

CA License Number PSY15053

Other Languages

National Provider ID 1841207289

Accepting New Patients Yes. Referral may be required.

(510) 433-9955

Certification Number

PAMELA PARADOWSKI -PRIVATE PRACTICE

ALAMEDA PARADOWSKI, PAMELA

1700 NORBRIDGE AVE

CASTRO VALLEY, CA 94546

Psychologist

CA License Number PSY15053

Other Languages

National Provider ID 1841207289

Accepting New Patients Yes. Referral may be required.

(510) 433-9955

Certification Number

PAMELA PARADOWSKI -PRIVATE PRACTICE

Page 44 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA PARKE, JOHN

585 MANDANA BLVD, STE 1

OAKLAND, CA 94610

Psychologist

CA License Number 18990

Other Languages

National Provider ID 1740361476

Accepting New Patients Yes. Referral may be required.

(510) 282-8089

Certification Number

JOHN PARKE -PRIVATE PRACTICE-

ALAMEDA PARKER, CHARLOTTE

465 34TH ST,

OAKLAND, CA 94609

Marriage and Family Therapist

CA License Number MFC38765

Other Languages

National Provider ID 1457377269

Accepting New Patients Yes. Referral may be required.

(510) 658-1105

Certification Number

PROSPEROUS HEART/CHARLOTTE PAR

ALAMEDA PEASE, SUSAN

3541 JAMISON WAY, STE 130

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number 51073

Other Languages

National Provider ID 1396003786

Accepting New Patients Yes. Referral may be required.

(510) 331-1551

Certification Number

SUSAN PEASE -PRIVATE PRACTICE-

ALAMEDA PERA, TASHA

20284 REDWOOD RD,

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number MFC44937

Other Languages

National Provider ID 1871739136

Accepting New Patients Yes. Referral may be required.

(510) 612-0284

Certification Number

TASHA PERA -PRIVATE PRACTICE-

ALAMEDA PERRY, JOYCE

4625 1ST ST, STE 235

PLEASANTON, CA 94566

Marriage and Family Therapist

CA License Number LMFT47714

Other Languages

National Provider ID 1538288865

Accepting New Patients Yes. Referral may be required.

(925) 262-1155

Certification Number

JOYCE PERRY -PRIVATE PRACTICE-

ALAMEDA PETER FRANK, DOUGLAS

1942 UNIVERSITY AVE, STE 306

BERKELEY, CA 94704

Psychologist

CA License Number PSY20221

Other Languages FRENCH

National Provider ID 1659633923

Accepting New Patients Yes. Referral may be required.

(510) 868-2526

Certification Number

DOUGLAS PETER FRANK -PRIVATE PRACTI

Page 45 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA PETTERSSON-ROSENBUSH, KRISTINE

2220 MOUNTAIN BLVD, STE 240

OAKLAND, CA 94611

Marriage and Family Therapist

CA License Number 39721

Other Languages

National Provider ID 1861894909

Accepting New Patients Yes. Referral may be required.

(925) 787-3834

Certification Number

KRISTINE PETTERSSON-ROSENBUSH -PRIV

ALAMEDA PIERCE, LODUSKIA

444 34TH ST, STE 3

OAKLAND, CA 94609

Marriage and Family Therapist

CA License Number MFC27430

Other Languages

National Provider ID 1710025291

Accepting New Patients Yes. Referral may be required.

(510) 524-9811

Certification Number

LODUSKIA PIERCE -PRIVATE PRACTICE-

ALAMEDA PIERCE, LODUSKIA

444 34TH ST,

OAKLAND, CA 94609

Marriage and Family Therapist

CA License Number MFT27430

Other Languages

National Provider ID 1710025291

Accepting New Patients Yes. Referral may be required.

(510) 524-9811

Certification Number

LODUSKIA PIERCE -PRIVATE PRACTICE-

ALAMEDA PLATANIA, JON

1385 SHATTUCK AVE, APT 302

BERKELEY, CA 94709

Psychologist

CA License Number PSY13269

Other Languages

National Provider ID 1568763563

Accepting New Patients Yes. Referral may be required.

(510) 843-0202

Certification Number

JON PLATANIA -PRIVATE PRACTICE-

ALAMEDA POLLATSEK, MICHAEL

1440 ACTON CRES,

BERKELEY, CA 94702

Psychiatrist

CA License Number G011706

Other Languages SPANISH

National Provider ID 1700965738

Accepting New Patients Yes. Referral may be required.

(510) 549-1492

Certification Number

MICHAEL POLLATSEK -PRIVATE PRACTICE-

ALAMEDA POLNER, PORTIA

1945 FRANCISCO ST,

BERKELEY, CA 94709

Psychologist

CA License Number PSY11003

Other Languages

National Provider ID 1346351608

Accepting New Patients Yes. Referral may be required.

(925) 798-5323

Certification Number

PORTIA POLNER -PRIVATE PRACTICE-

Page 46 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA POPPLE, ARIELLA

902 CARMEL AVE,

ALBANY, CA 94706

Psychologist

CA License Number 27531

Other Languages HEBREW

National Provider ID 1619162310

Accepting New Patients Yes. Referral may be required.

(510) 409-5222

Certification Number

ARIELLA POPPLE -PRIVATE PRACTICE-

ALAMEDA PORTER, LEANNE

32145 ALVARADO NILES RD

UNION CITY, CA 94587

Marriage and Family Therapist

CA License Number MFC51843

Other Languages

National Provider ID 1023359569

Accepting New Patients Yes. Referral may be required.

(650) 375-0679

Certification Number

LEANNE PORTER -PRIVATE PRACTICE-

ALAMEDA POTTASH, JOYCE

1635 SOLANO AVE,

BERKELEY, CA 94707

Psychologist

CA License Number 25240

Other Languages

National Provider ID 1326070525

Accepting New Patients Yes. Referral may be required.

(510) 859-7923

Certification Number

JOYCE POTTASH -PRIVATE PRACTICE-

ALAMEDA PREGERSON, SUZANNE

925 THE ALAMEDA, STE A

BERKELEY, CA 94707

Marriage and Family Therapist

CA License Number 8734

Other Languages

National Provider ID 1396778106

Accepting New Patients Yes. Referral may be required.

(510) 548-1237

Certification Number

SUZANNE PREGERSON -PRIVATE PRACTICE

ALAMEDA PRITCHARD, ELAINE

4444 BLACK AVE,

PLEASANTON, CA 94566

Marriage and Family Therapist

CA License Number MFC94183

Other Languages

National Provider ID 1851692610

Accepting New Patients Yes. Referral may be required.

(925) 272-8046

Certification Number

ELAINE PRITCHARD -PRIVATE PRACTICE-

ALAMEDA PROPHET, REBECCA

230 GRAND AVE, SUITE 301B-2

OAKLAND, CA 94610

Marriage and Family Therapist

CA License Number 50286

Other Languages

National Provider ID 1215289749

Accepting New Patients Yes. Referral may be required.

(510) 435-7445

Certification Number

REBECCA PROPHET -PRIVATE PRACTICE-

Page 47 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA QUANDT, DOROTHY

39825 PASEO PADRE PKWY, STE B

FREMONT, CA 94538

Marriage and Family Therapist

CA License Number 39656

Other Languages

National Provider ID 1669591814

Accepting New Patients Yes. Referral may be required.

(510) 683-9683

Certification Number

DOROTHY QUANDT -PRIVATE PRACTICE-

ALAMEDA QUITERIO, NICOLE

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number 121383

Other Languages

National Provider ID 1437387495

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

NICOLE QUITERIO -PRIVATE PRACTICE-

ALAMEDA RAMMER, PAUL

123 BAY PL,

OAKLAND, CA 94610

Marriage and Family Therapist

CA License Number MFC42963

Other Languages

National Provider ID 1760764955

Accepting New Patients Yes. Referral may be required.

(510) 295-3504

Certification Number

PAUL RAMMER -PRIVATE PRACTICE-

ALAMEDA RANLETT MOCK, KATHLEEN

1265 HOPKINS ST, APT B

BERKELEY, CA 94702

Psychologist

CA License Number LMFT15482

Other Languages

National Provider ID 1447284617

Accepting New Patients Yes. Referral may be required.

(510) 527-8801

Certification Number

KATHLEEN RANLETT MOCK -PRIVATE PRAC

ALAMEDA RATTO, ROSEMARIE

345 ESTUDILLO AVE, STE 207

SAN LEANDRO, CA 94577

Psychologist

CA License Number PSY14103

Other Languages

National Provider ID 1649336793

Accepting New Patients Yes. Referral may be required.

(510) 841-7484

Certification Number

ROSEMARIE RATTO -PRIVATE PRACTICE-

ALAMEDA REISS, MARGARET

2714 TELEGRAPH AVE,

BERKELEY, CA 94705

Licensed Clinical Social Worker

CA License Number LCS00004541

Other Languages

National Provider ID 1922170497

Accepting New Patients Yes. Referral may be required.

(510) 649-1273

Certification Number

MARGARET REISS

Page 48 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA REMIGIO, REINA

1805 WEST ST

HAYWARD, CA 94545

Psychologist

CA License Number PSY28764

Other Languages

National Provider ID 1417494006

Accepting New Patients Yes. Referral may be required.

(562) 904-3999

Certification Number

REINA REMIGIO -PRIVATE PRACTICE-

ALAMEDA REMIGIO, REINA

442 SUNSET BLVD

HAYWARD, CA 94541

Psychologist

CA License Number PSY28764

Other Languages

National Provider ID 1417494006

Accepting New Patients Yes. Referral may be required.

(562) 904-3999

Certification Number

REINA REMIGIO -PRIVATE PRACTICE-

ALAMEDA RILEY, JANIE

2991 SHATTUCK AVE, STE 301B

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number 41308

Other Languages

National Provider ID 1457594624

Accepting New Patients Yes. Referral may be required.

(510) 464-1120

Certification Number

JANIE RILEY -PRIVATE PRACTICE-

ALAMEDA RIOS, LYNN

405 KAINS AVE, STE 105

ALBANY, CA 94706

Marriage and Family Therapist

CA License Number 44356

Other Languages SPANISH

National Provider ID 1417127143

Accepting New Patients Yes. Referral may be required.

(510) 219-3310

Certification Number

LYNN RIOS -PRIVATE PRACTICE-

ALAMEDA RITCHIE, DENNIS

231 OLD BERNAL AVE, STE 6

PLEASANTON, CA 94566

Marriage and Family Therapist

CA License Number 36590

Other Languages

National Provider ID 1063636025

Accepting New Patients Yes. Referral may be required.

(925) 963-9430

Certification Number

DENNIS RITCHIE -PRIVATE PRACTICE-

ALAMEDA ROBERTS, JODY

919 THE ALAMEDA,

BERKELEY, CA 94707

Marriage and Family Therapist

CA License Number MFC37412

Other Languages

National Provider ID 1952461378

Accepting New Patients Yes. Referral may be required.

(510) 507-4167

Certification Number

JODY ROBERTS -PRIVATE PRACTICE-

Page 49 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA ROBERTS, JOHN

5776 STONERIDGE MALL RD, STE 346

PLEASANTON, CA 94588

Psychologist

CA License Number PSY12746

Other Languages

National Provider ID 1376766881

Accepting New Patients Yes. Referral may be required.

(925) 227-1122

Certification Number

JOHN ROBERTS -PRIVATE PRACTICE-

ALAMEDA ROBINSON BRYAN, JANET

3671 GRAND AVE,

OAKLAND, CA 94610

Licensed Clinical Social Worker

CA License Number LCS9923

Other Languages

National Provider ID 1205855798

Accepting New Patients Yes. Referral may be required.

(510) 420-8083

Certification Number

JANET ROBINSON BRYAN -PRIVATE PRACTI

ALAMEDA ROCHELLE-WILLIAMS, DEBORAH

3671 GRAND AVE,

OAKLAND, CA 94610

Licensed Clinical Social Worker

CA License Number LCS10866

Other Languages

National Provider ID 1003002668

Accepting New Patients Yes. Referral may be required.

(510) 301-4057

Certification Number

DEBORAH ROCHELLE-WILLIAMS -PRIVATE P

ALAMEDA RODRIGUES, NINA

5625 COLLEGE AVE, STE 207

OAKLAND, CA 94618

Marriage and Family Therapist

CA License Number MFC38288

Other Languages SPANISH PORTUGUESE

National Provider ID 1487747309

Accepting New Patients Yes. Referral may be required.

(510) 653-0169

Certification Number

NINA RODRIGUES -PRIVATE PRACTICE-

ALAMEDA ROONEY, JENNIFER

1942 UNIVERSITY AVE

BERKELEY, CA 94704

Psychologist

CA License Number PSY25756

Other Languages

National Provider ID 1649338542

Accepting New Patients Yes. Referral may be required.

(510) 868-2526

Certification Number

JENNIFER ROONEY -PRIVATE PRACTICE-

ALAMEDA ROSALES-WYMAN, CAROLINA

1904 FRANKLIN ST, STE 703

OAKLAND, CA 94612

Licensed Clinical Social Worker

CA License Number LCS22815

Other Languages SPANISH

National Provider ID 1881744654

Accepting New Patients Yes. Referral may be required.

(415) 342-3129

Certification Number

CAROLINA ROSALES-WYMAN -PRIVATE PRA

Page 50 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA ROSATI, JAMES

1903 BERKELEY WAY,

BERKELEY, CA 94704

Marriage and Family Therapist

CA License Number 52913

Other Languages

National Provider ID 1417124918

Accepting New Patients Yes. Referral may be required.

(510) 698-9705

Certification Number

JAMES ROSATI -PRIVATE PRACTICE-

ALAMEDA ROSS, CARMEL

20200 REDWOOD RD, STE 6

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number MFC39930

Other Languages

National Provider ID 1932317245

Accepting New Patients Yes. Referral may be required.

(510) 909-4712

Certification Number

CARMEL ROSS -PRIVATE PRACTICE-

ALAMEDA ROTHSCHILD, NANCY

1419 ALLSTON WAY,

BERKELEY, CA 94702

Marriage and Family Therapist

CA License Number 20640

Other Languages

National Provider ID 1972657450

Accepting New Patients Yes. Referral may be required.

(510) 843-6903

Certification Number

NANCY ROTHSCHILD -PRIVATE PRACTICE-

ALAMEDA RUDERMAN, JOAN

6232 ESTATES DR,

PIEDMONT, CA 94611

Marriage and Family Therapist

CA License Number 19129

Other Languages

National Provider ID 1598858862

Accepting New Patients Yes. Referral may be required.

(510) 339-8368

Certification Number

JOAN RUDERMAN -PRIVATE PRACTICE-

ALAMEDA RUDNICK, CRAIG

39420 LIBERTY ST, STE 265

FREMONT, CA 94538

Psychiatrist

CA License Number A102459

Other Languages

National Provider ID 1184831661

Accepting New Patients Yes. Referral may be required.

(510) 744-3688

Certification Number

CRAIG RUDNICK -PRIVATE PRACTICE-

ALAMEDA RYAN, SHEILA

2315 PRINCE ST

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number MFC37898

Other Languages

National Provider ID 1467652867

Accepting New Patients Yes. Referral may be required.

(510) 869-4143

Certification Number

SHEILA RYAN -PRIVATE PRACTICE-

Page 51 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA SAAD, JOYCE

2258 SANTA CLARA AVE, STE 4

ALAMEDA, CA 94501

Psychologist

CA License Number PSY8895

Other Languages

National Provider ID 1275697476

Accepting New Patients Yes. Referral may be required.

(510) 522-3076

Certification Number

JOYCE R SAAD PHD

ALAMEDA SAGEWOOD, ANNE

6355 TELEGRAPH AVE, STE 305

OAKLAND, CA 94609

Marriage and Family Therapist

CA License Number 33718

Other Languages

National Provider ID 1679772073

Accepting New Patients Yes. Referral may be required.

(510) 469-9066

Certification Number

ANNE SAGEWOOD -PRIVATE PRACTICE-

ALAMEDA SAGEWOOD, ANNE

2424 DWIGHT WAY, STE 6

BERKELEY, CA 94704

Marriage and Family Therapist

CA License Number 33718

Other Languages

National Provider ID 1679772073

Accepting New Patients Yes. Referral may be required.

(510) 469-9066

Certification Number

ANNE SAGEWOOD -PRIVATE PRACTICE-

ALAMEDA SALTER, STEPHEN

1918 BONITA AVE

BERKELEY, CA 94704

Psychologist

CA License Number 24716

Other Languages

National Provider ID 1487905139

Accepting New Patients Yes. Referral may be required.

(510) 868-2526

Certification Number

STEPHEN SALTER -PRIVATE PRACTICE-

ALAMEDA SAMLAN, DAVID

1134 BALLENA BLVD, STE 21

ALAMEDA, CA 94501

Marriage and Family Therapist

CA License Number MFC47571

Other Languages

National Provider ID 1437297355

Accepting New Patients Yes. Referral may be required.

(510) 545-3120

Certification Number

DAVID SAMLAN -PRIVATE PRACTICE-

ALAMEDA SANTAS, DIANE

5625 COLLEGE AVE, STE 212

OAKLAND, CA 94618

Psychologist

CA License Number 10397

Other Languages

National Provider ID 1467669499

Accepting New Patients Yes. Referral may be required.

(510) 834-4848

Certification Number

DIANE SANTAS -PRIVATE PRACTICE-

Page 52 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA SARALKAR, RACHNA

39420 LIBERTY ST, STE 265

FREMONT, CA 94538

Psychiatrist

CA License Number 137236

Other Languages

National Provider ID 1376832162

Accepting New Patients Yes. Referral may be required.

(510) 744-3688

Certification Number

RACHNA SARALKAR -PRIVATE PRACTICE-

ALAMEDA SATTLER, HOWARD

1235 MARIN AVE,

ALBANY, CA 94706

Marriage and Family Therapist

CA License Number 30198

Other Languages SPANISH

National Provider ID 1578563268

Accepting New Patients Yes. Referral may be required.

(925) 215-5646

Certification Number

HOWARD SATTLER -PRIVATE PRACTICE-

ALAMEDA SAUVE, JOHN

1200 65TH ST, APT 225

EMERYVILLE, CA 94608

Psychologist

CA License Number 16158

Other Languages

National Provider ID 1821201757

Accepting New Patients Yes. Referral may be required.

(510) 368-5834

Certification Number

JOHN SAUVE -PRIVATE PRACTICE-

ALAMEDA SAVON, SUMMER

827 BROADWAY, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number A126089

Other Languages

National Provider ID 1629376462

Accepting New Patients Yes. Referral may be required.

(510) 834-2049

Certification Number

SUMMER SAVON -PRIVATE PRACTICE-

ALAMEDA SAXTON, PAUL

2220 MOUNTAIN BLVD, STE 240

OAKLAND, CA 94611

Licensed Clinical Social Worker

CA License Number LCS3221

Other Languages

National Provider ID 1669477949

Accepting New Patients Yes. Referral may be required.

(510) 531-0220

Certification Number

PAUL SAXTON PHD LCSW

ALAMEDA SAXTON, PAUL

2220 MOUNTAIN BLVD, STE 240

OAKLAND, CA 94611

Licensed Clinical Social Worker

CA License Number LCS3221

Other Languages

National Provider ID 1669477949

Accepting New Patients Yes. Referral may be required.

(510) 531-0220

Certification Number

PAUL SAXTON PHD LCSW

Page 53 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA SCATENA, SUSAN

11891 FLANAGAN CT,

DUBLIN, CA 94568

Psychologist

CA License Number 12752

Other Languages

National Provider ID 1053486324

Accepting New Patients Yes. Referral may be required.

(925) 803-1617

Certification Number

SUSAN SCATENA -PRIVATE PRACTICE-

ALAMEDA SCHEAR, ROBERTA

5460 CARLTON ST,

OAKLAND, CA 94618

Psychologist

CA License Number PSY5076

Other Languages

National Provider ID 1336173053

Accepting New Patients Yes. Referral may be required.

(510) 655-7240

Certification Number

ROBERTA SCHEAR -PRIVATE PRACTICE-

ALAMEDA SCHMIDT, REGINA

533 PETERS AVE, STE 202

PLEASANTON, CA 94566

Marriage and Family Therapist

CA License Number MFC36725

Other Languages GERMAN

National Provider ID 1518981414

Accepting New Patients Yes. Referral may be required.

(925) 640-2922

Certification Number

REGINA SCHMIDT -PRIVATE PRACTICE-

ALAMEDA SCHOENENBERGER, AMY

20055 LAKE CHABOT RD, STE 350

CASTRO VALLEY, CA 94546

Psychologist

CA License Number PSY7537

Other Languages

National Provider ID 1427145416

Accepting New Patients Yes. Referral may be required.

(510) 481-4677

Certification Number

AMY SCHOENENBERGER -PRIVATE PRACTI

ALAMEDA SCHOENENBERGER, AMY

5480 COLLEGE AVE,

OAKLAND, CA 94618

Psychologist

CA License Number PSY7537

Other Languages

National Provider ID 1427145416

Accepting New Patients Yes. Referral may be required.

(510) 420-1749

Certification Number

AMY SCHOENENBERGER -PRIVATE PRACTI

ALAMEDA SCHUSTER, LEE

5480 COLLEGE AVE,

OAKLAND, CA 94618

Licensed Clinical Social Worker

CA License Number 25058

Other Languages SPANISH

National Provider ID 1669799946

Accepting New Patients Yes. Referral may be required.

(415) 203-5711

Certification Number

LEE SCHUSTER -PRIVATE PRACTICE-

Page 54 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA SCHWARTZ, JOAN

2955 SHATTUCK AVE,

BERKELEY, CA 94705

Psychologist

CA License Number PSY6081

Other Languages

National Provider ID 1083649479

Accepting New Patients Yes. Referral may be required.

(510) 486-2720

Certification Number

JOAN SCHWARTZ -PRIVATE PRACTICE-

ALAMEDA SCHWARTZ, MARJORIE

1035 SAN PABLO AVE, STE 5

ALBANY, CA 94706

Licensed Clinical Social Worker

CA License Number LCS6246

Other Languages

National Provider ID 1407954860

Accepting New Patients Yes. Referral may be required.

(510) 528-4230

Certification Number

MARJORIE SCHWARTZ -PRIVATE PRACTICE-

ALAMEDA SCURRIA, JEAN

855 MAIN ST, STE 210

PLEASANTON, CA 94566

Licensed Clinical Social Worker

CA License Number LCSW14100

Other Languages

National Provider ID 1174532352

Accepting New Patients Yes. Referral may be required.

(925) 846-1229

Certification Number

JEAN SCURRIA PHD

ALAMEDA SERDAHL, ERIC

1797 4TH ST,

LIVERMORE, CA 94550

Psychologist

CA License Number PSY17991

Other Languages SPANISH

National Provider ID 1265469217

Accepting New Patients Yes. Referral may be required.

(925) 443-2500

Certification Number

ERIC SERDAHL -PRIVATE PRACTICE-

ALAMEDA SERKIN, EMILY

1345 B ST,

HAYWARD, CA 94541

Psychologist

CA License Number PSY11548

Other Languages

National Provider ID 1871518563

Accepting New Patients Yes. Referral may be required.

(510) 481-1168

Certification Number

EMILY SERKIN -PRIVATE PRACTICE-

ALAMEDA SHAFFER, CAREY

2000 HEARST AVE, STE 203A

BERKELEY, CA 94709

Psychologist

CA License Number PSY20479

Other Languages

National Provider ID 1801092531

Accepting New Patients Yes. Referral may be required.

(510) 981-1471

Certification Number

CAREY SHAFFER -PRIVATE PRACTICE-

Page 55 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA SHERIFF, SARA

5767 BROADWAY, STE 101

OAKLAND, CA 94618

Psychiatrist

CA License Number A112142

Other Languages

National Provider ID 1891081535

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SARA SHERIFF -PRIVATE PRACTICE-

ALAMEDA SIEGEL, LENI

1225 MARIN AVE,

ALBANY, CA 94706

Marriage and Family Therapist

CA License Number MFC35288

Other Languages SPANISH

National Provider ID 1740390996

Accepting New Patients Yes. Referral may be required.

(510) 665-6516

Certification Number

LENI SIEGEL -PRIVATE PRACTICE-

ALAMEDA SIMMONS, CHARLINE

6355 TELEGRAPH AVE, STE 201

OAKLAND, CA 94609

Psychiatrist

CA License Number C42740

Other Languages

National Provider ID 1841278991

Accepting New Patients Yes. Referral may be required.

(510) 658-9779

Certification Number

CHARLINE SIMMONS -PRIVATE PRACTICE-

ALAMEDA SIMONS, JUDY

2675 LAS AROMAS,

OAKLAND, CA 94611

Licensed Clinical Social Worker

CA License Number LCS9937

Other Languages

National Provider ID 1851514731

Accepting New Patients Yes. Referral may be required.

(510) 530-4477

Certification Number

JUDY SIMONS -PRIVATE PRACTICE-

ALAMEDA SINGH, SIMRITA

827 BROADWAY, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number A105696

Other Languages

National Provider ID 1598739575

Accepting New Patients Yes. Referral may be required.

(510) 834-2049

Certification Number

SIMRITA SINGH -PRIVATE PRACTICE-

ALAMEDA SIWULA, CLAIRE

22248 MAIN ST

HAYWARD, CA 94541

Psychiatrist

CA License Number MFC31405

Other Languages

National Provider ID 1316182108

Accepting New Patients Yes. Referral may be required.

(510) 302-8766

Certification Number

CLAIRE SIWULA -PRIVATE PRACTICE-

Page 56 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA SIWULA, CLAIRE

2233 SANTA CLARA AVE, #2

ALAMEDA, CA 94501

Marriage and Family Therapist

CA License Number MFC31405

Other Languages

National Provider ID 1316182108

Accepting New Patients Yes. Referral may be required.

(510) 273-9844

Certification Number

CLAIRE SIWULA -PRIVATE PRACTICE-

ALAMEDA SKERBEC, LINDA

45935 SENTINEL PL,

FREMONT, CA 94539

Marriage and Family Therapist

CA License Number MFT21974

Other Languages

National Provider ID 1821213034

Accepting New Patients Yes. Referral may be required.

(650) 266-8275

Certification Number

LINDA SKERBEC -PRIVATE PRACTICE-

ALAMEDA SMERNES, DENISE

2220 MOUNTAIN BLVD, #240

OAKLAND, CA 94611

Marriage and Family Therapist

CA License Number MFC32467

Other Languages

National Provider ID 1346261823

Accepting New Patients Yes. Referral may be required.

(510) 336-0637

Certification Number

DENISE SMERNES

ALAMEDA SMITH, SUSAN

39899 BALENTINE DR, STE 355

NEWARK, CA 94560

Licensed Clinical Social Worker

CA License Number LC5916

Other Languages

National Provider ID 1457328247

Accepting New Patients Yes. Referral may be required.

(510) 301-1890

Certification Number

SUSAN SMITH -PRIVATE PRACTICE-

ALAMEDA SOLOMON, ELIZABETH

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number MFC90195

Other Languages SPANISH

National Provider ID 1780973651

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

ELIZABETH SOLOMON -PRIVATE PRACTICE-

ALAMEDA SOLOMON, THEODORE

39767 PASEO PADRE PKWY, STE D

FREMONT, CA 94538

Licensed Clinical Social Worker

CA License Number LCS7982

Other Languages

National Provider ID 1619902939

Accepting New Patients Yes. Referral may be required.

(510) 247-2226

Certification Number

THEODORE SOLOMON -PRIVATE PRACTICE-

Page 57 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA SPECTERMAN, RANDY

1818 WALNUT ST, APT 9

BERKELEY, CA 94709

Psychologist

CA License Number 23745

Other Languages

National Provider ID 1699746057

Accepting New Patients Yes. Referral may be required.

(607) 761-2285

Certification Number

RANDY SPECTERMAN -PRIVATE PRACTICE-

ALAMEDA SPUDICH, JOHN

1942 UNIVERSITY AVE, STE 306

BERKELEY, CA 94704

Psychologist

CA License Number 25120

Other Languages

National Provider ID 1235387945

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOHN SPUDICH -PRIVATE PRACTICE-

ALAMEDA ST CLAIRE, BEATRICE

5924 STONERIDGE DR, STE 210

PLEASANTON, CA 94588

Psychiatrist

CA License Number G69391

Other Languages

National Provider ID 1518041144

Accepting New Patients Yes. Referral may be required.

(925) 223-6157

Certification Number

BEATRICE ST CLAIRE -PRIVATE PRACTICE-

ALAMEDA STAHL, ZACHARY

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number LMFT93655

Other Languages

National Provider ID 1306245659

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

ZACHARY STAHL -PRIVATE PRACTICE-

ALAMEDA STANFORD, DONALD

2232 CARLETON ST, STE 7

BERKELEY, CA 94704

Psychiatrist

CA License Number G19732

Other Languages

National Provider ID 1861400657

Accepting New Patients Yes. Referral may be required.

(510) 540-6235

Certification Number

DONALD STANFORD -PRIVATE PRACTICE-

ALAMEDA STEINMAN, SANDY

1429 ACTON ST,

BERKELEY, CA 94702

Licensed Clinical Social Worker

CA License Number LCS7986

Other Languages

National Provider ID 1811985823

Accepting New Patients Yes. Referral may be required.

(510) 526-9699

Certification Number

SANDY STEINMAN -PRIVATE PRACTICE-

Page 58 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA STERN, ROBERTA

1903 BERKELEY WAY, STE 3

BERKELEY, CA 94704

Licensed Clinical Social Worker

CA License Number LCS5240

Other Languages

National Provider ID 1427199066

Accepting New Patients Yes. Referral may be required.

(510) 649-5854

Certification Number

ROBERTA STERN -PRIVATE PRACTICE-

ALAMEDA STIEFVATER, VICTORIA

2421 4TH ST,

BERKELEY, CA 94710

Marriage and Family Therapist

CA License Number 32420

Other Languages

National Provider ID 1558564070

Accepting New Patients Yes. Referral may be required.

(510) 486-8299

Certification Number

VICTORIA STIEFVATER -PRIVATE PRACTICE

ALAMEDA STIL, JOOSKE

433 CALLAN AVE, STE 306

SAN LEANDRO, CA 94577

Marriage and Family Therapist

CA License Number MFC00025870

Other Languages DUTCH

National Provider ID 1437276292

Accepting New Patients Yes. Referral may be required.

(510) 589-0606

Certification Number

JOOSKE STIL -PRIVATE PRACTICE-

ALAMEDA STOCK, WENDY

376 COLUSA AVE, STE 1

KENSINGTON, CA 94707

Psychologist

CA License Number 13947

Other Languages

National Provider ID 1649567538

Accepting New Patients Yes. Referral may be required.

(510) 845-1622

Certification Number

WENDY STOCK -PRIVATE PRACTICE-

ALAMEDA STONE, CLAIRE

1760 SOLANO AVE, STE 300

BERKELEY, CA 94707

Marriage and Family Therapist

CA License Number 37530

Other Languages

National Provider ID 1114024809

Accepting New Patients Yes. Referral may be required.

(510) 868-1874

Certification Number

CLAIRE STONE -PRIVATE PRACTICE-

ALAMEDA SUMMERS, EMILY

465 34TH ST,

OAKLAND, CA 94609

Licensed Clinical Social Worker

CA License Number LCS69671

Other Languages

National Provider ID 1124390117

Accepting New Patients Yes. Referral may be required.

(510) 214-3928

Certification Number

EMILY SUMMERS -PRIVATE PRACTICE-

Page 59 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA SUSSMAN, ANDREW

5313 COLLEGE AVE,

OAKLAND, CA 94618

Licensed Clinical Social Worker

CA License Number LCS62406

Other Languages

National Provider ID 1770891129

Accepting New Patients Yes. Referral may be required.

(415) 944-7466

Certification Number

ANDREW SUSSMAN -PRIVATE PRACTICE-

ALAMEDA SUSSMAN, JED

4466 BLACK AVE, STE H

PLEASANTON, CA 94566

Psychologist

CA License Number PSY00007553

Other Languages

National Provider ID 1912965476

Accepting New Patients Yes. Referral may be required.

(925) 600-8199

Certification Number

JED SUSSMAN -PRIVATE PRACTICE-

ALAMEDA TAGGART, LINDA

1905 BERKELEY WAY,

BERKELEY, CA 94704

Licensed Clinical Social Worker

CA License Number 27170

Other Languages

National Provider ID 1427087337

Accepting New Patients Yes. Referral may be required.

(650) 469-3617

Certification Number

LINDA TAGGART -PRIVATE PRACTICE-

ALAMEDA TARKINGTON, MICHELE

20200 REDWOOD RD, STE 14

CASTRO VALLEY, CA 94546

Marriage and Family Therapist

CA License Number MFC39375

Other Languages

National Provider ID 1225190986

Accepting New Patients Yes. Referral may be required.

(510) 888-3197

Certification Number

MICHELE TARKINGTON -PRIVATE PRACTICE

ALAMEDA TARSHIS, THOMAS

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number A81257

Other Languages MANDARIN SPANISH FRENCH

National Provider ID 1043304017

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

THOMAS TARSHIS -PRIVATE PRACTICE-

ALAMEDA TAYLEUR, DEBRA

1240 POWELL ST, STE 2C

EMERYVILLE, CA 94608

Marriage and Family Therapist

CA License Number MFC35553

Other Languages

National Provider ID 1407971021

Accepting New Patients Yes. Referral may be required.

(510) 869-4665

Certification Number

DEBRA TAYLEUR -PRIVATE PRACTICE-

Page 60 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA TAYLEUR, DEBRA

1345 B ST,

HAYWARD, CA 94541

Marriage and Family Therapist

CA License Number MFC35553

Other Languages

National Provider ID 1407971021

Accepting New Patients Yes. Referral may be required.

(510) 869-4665

Certification Number

DEBRA TAYLEUR -PRIVATE PRACTICE-

ALAMEDA TAYLOR, STACY

1760 SOLANO AVE, STE 304

BERKELEY, CA 94707

Licensed Clinical Social Worker

CA License Number LCS13470

Other Languages

National Provider ID 1689690638

Accepting New Patients Yes. Referral may be required.

(510) 559-3440

Certification Number

STACY TAYLOR -PRIVATE PRACTICE-

ALAMEDA TEITELBAUM, MARC

2340 WARD ST, STE 204

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number MFC36726

Other Languages

National Provider ID 1669733747

Accepting New Patients Yes. Referral may be required.

(510) 524-8497

Certification Number

MARC TEITELBAUM MFT

ALAMEDA THAKKAR, SMITA

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number A105768

Other Languages HINDI MANDARIN FRENCH

National Provider ID 1730353111

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

SMITA THAKKAR -PRIVATE PRACTICE-

ALAMEDA TSAI, ERICA

1942 UNIVERSITY AVE, STE 306

BERKELEY, CA 94704

Psychiatrist

CA License Number A139238

Other Languages

National Provider ID 1184854804

Accepting New Patients Yes. Referral may be required.

(510) 868-2526

Certification Number

ERICA TSAI -PRIVATE PRACTICE-

ALAMEDA TSAI, SHUFANG

1903 BERKELEY WAY,

BERKELEY, CA 94704

Psychologist

CA License Number PSY22692

Other Languages MANDARIN

National Provider ID 1629276332

Accepting New Patients Yes. Referral may be required.

(510) 684-5797

Certification Number

SHUFANG TSAI -PRIVATE PRACTICE-

Page 61 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA TUNSON, MEGHAN

5297 COLLEGE AVE

OAKLAND, CA 94618

Psychologist

CA License Number PSY25752

Other Languages

National Provider ID 1649588476

Accepting New Patients Yes. Referral may be required.

(510) 868-2526

Certification Number

MEGHAN TUNSON -PRIVATE PRACTICE-

ALAMEDA UBELL, SABINA

2424 DWIGHT WAY, STE 1

BERKELEY, CA 94704

Licensed Clinical Social Worker

CA License Number LCSW13486

Other Languages

National Provider ID 1871540112

Accepting New Patients Yes. Referral may be required.

(510) 282-7448

Certification Number

SABINA UBELL -PRIVATE PRACTICE-

ALAMEDA VAN DYKE, MARCIA

4000 BROADWAY, STE 1

OAKLAND, CA 94611

Psychologist

CA License Number 16851

Other Languages

National Provider ID 1932226396

Accepting New Patients Yes. Referral may be required.

(510) 655-1992

Certification Number

MARCIA VANDYKE PHD

ALAMEDA VANDENBERG, DENAI

1242 PARK ST, STE C

ALAMEDA, CA 94501

Marriage and Family Therapist

CA License Number 52679

Other Languages

National Provider ID 1578695185

Accepting New Patients Yes. Referral may be required.

(510) 521-3500

Certification Number

DENAI VANDENBERG -PRIVATE PRACTICE-

ALAMEDA VENKATACHALAM, SUKANYA

11875 DUBLIN BLVD, STE D165

DUBLIN, CA 94568

Psychiatrist

CA License Number A112695

Other Languages

National Provider ID 1083878078

Accepting New Patients Yes. Referral may be required.

(925) 556-6274

Certification Number

SUKANYA VENKATACHALAM -PRIVATE PRA

ALAMEDA VENKATACHALAM, SUKANYA

827 BROADWAY, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number A112695

Other Languages

National Provider ID 1083878078

Accepting New Patients Yes. Referral may be required.

(510) 834-2049

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

Page 62 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA VENKATACHALAM, SUKANYA

5924 STONERIDGE DR, STE 210

PLEASANTON, CA 94588

Psychiatrist

CA License Number A112695

Other Languages

National Provider ID 1083878078

Accepting New Patients Yes. Referral may be required.

(925) 223-6157

Certification Number

SUKANYA VENKATACHALAM -PRIVATE PRA

ALAMEDA VERSALES, GILDA

2608 CENTRAL AVE, STE 1

UNION CITY, CA 94587

Psychiatrist

CA License Number A37138

Other Languages

National Provider ID 1720172554

Accepting New Patients Yes. Referral may be required.

(510) 675-0600

Certification Number

GILDA VERSALES -PRIVATE PRACTICE-

ALAMEDA VEZA, VALERIE

2000 HEARST AVE, STE 203A

BERKELEY, CA 94709

Licensed Clinical Social Worker

CA License Number 25673

Other Languages

National Provider ID 1770886160

Accepting New Patients Yes. Referral may be required.

(510) 981-1471

Certification Number

VALERIE VEZA -PRIVATE PRACTICE-

ALAMEDA WARAICH, BHUPINDER

722 MOWRY AVE,

FREMONT, CA 94536

Psychiatrist

CA License Number A53968

Other Languages

National Provider ID 1689869547

Accepting New Patients Yes. Referral may be required.

(510) 494-9313

Certification Number

BHUPINDER WARAICH -PRIVATE PRACTICE-

ALAMEDA WARAICH, JAAP

722 MOWRY AVE,

FREMONT, CA 94536

Psychiatrist

CA License Number G067904

Other Languages PANJABI SPANISH

National Provider ID 1316132285

Accepting New Patients Yes. Referral may be required.

(510) 494-9313

Certification Number

JAAP WARAICH -PRIVATE PRACTICE-

ALAMEDA WARREN, BRONWYN

4171 PIEDMONT AVE, STE 205

OAKLAND, CA 94611

Marriage and Family Therapist

CA License Number MFC29402

Other Languages

National Provider ID 1629125695

Accepting New Patients Yes. Referral may be required.

(510) 985-1208

Certification Number

BRONWYN WARREN -PRIVATE PRACTICE-

Page 63 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA WATKINS, JAMIE

5478A COLLEGE AVE,

OAKLAND, CA 94618

Licensed Clinical Social Worker

CA License Number 26252

Other Languages SPANISH

National Provider ID 1538376140

Accepting New Patients Yes. Referral may be required.

(408) 234-6071

Certification Number

JAMIE WATKINS -PRIVATE PRACTICE-

ALAMEDA WEBB, AUDREY

2041 BANCROFT WAY, STE 307

BERKELEY, CA 94704

Licensed Clinical Social Worker

CA License Number LCS7717

Other Languages AMERICAN SIGN LANGUAGE

National Provider ID 1508880345

Accepting New Patients Yes. Referral may be required.

(510) 287-5988

Certification Number

AUDREY WEBB -PRIVATE PRACTICE-

ALAMEDA WEEKLY, SARA

111 MYRTLE ST, STE 300

OAKLAND, CA 94607

Psychiatrist

CA License Number G113636

Other Languages

National Provider ID 1235452624

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

SARA WEEKLY -PRIVATE PRACTICE-

ALAMEDA WEIL, JANE

6239 COLLEGE AVE, STE 204

OAKLAND, CA 94618

Licensed Clinical Social Worker

CA License Number LCS00007720

Other Languages

National Provider ID 1427125038

Accepting New Patients Yes. Referral may be required.

(510) 653-4963

Certification Number

JANE WEIL -PRIVATE PRACTICE-

ALAMEDA WEINTROB, STEVEN

341 MACARTHUR BLVD,

OAKLAND, CA 94610

Psychologist

CA License Number PSY9620

Other Languages

National Provider ID 1285787069

Accepting New Patients Yes. Referral may be required.

(925) 283-1939

Certification Number

STEVEN WEINTROB -PRIVATE PRACTICE-

ALAMEDA WEKSLER, ORIT

2000 DWIGHT WAY, STE D

BERKELEY, CA 94704

Marriage and Family Therapist

CA License Number 46132

Other Languages HEBREW

National Provider ID 1366641300

Accepting New Patients Yes. Referral may be required.

(510) 356-2783

Certification Number

ORIT WEKSLER -PRIVATE PRACTICE-

Page 64 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA WHITE, ELENA

111 MYRTLE ST, 3RD FLOOR

OAKLAND, CA 94607

Marriage and Family Therapist

CA License Number MFT99435

Other Languages

National Provider ID 1467894006

Accepting New Patients Yes. Referral may be required.

(510) 922-9757

Certification Number

ELENA WHITE -PRIVATE PRACTICE-

ALAMEDA WHITE-SOSO, FREDERICKA

445 BELLEVUE AVE, STE 101

OAKLAND, CA 94610

Licensed Clinical Social Worker

CA License Number 26568

Other Languages

National Provider ID 1457540353

Accepting New Patients Yes. Referral may be required.

(510) 496-3475

Certification Number

FREDERICKA WHITE-SOSO -PRIVATE PRAC

ALAMEDA WHITMER, GARY

7901 STONERIDGE DRIVE, STE 521

PLEASANTON, CA 94566

Licensed Clinical Social Worker

CA License Number LCS6431

Other Languages

National Provider ID 1144247669

Accepting New Patients Yes. Referral may be required.

(510) 548-0680

Certification Number

GARY WHITMER -PRIVATE PRACTICE-

ALAMEDA WHITMER, GARY

917 THE ALAMEDA,

BERKELEY, CA 94707

Licensed Clinical Social Worker

CA License Number LCS6431

Other Languages

National Provider ID 1144247669

Accepting New Patients Yes. Referral may be required.

(510) 548-0680

Certification Number

GARY WHITMER -PRIVATE PRACTICE-

ALAMEDA WIDROE, HARVEY

39420 LIBERTY ST, STE 265

FREMONT, CA 94538

Psychiatrist

CA License Number G4880

Other Languages

National Provider ID 1003977851

Accepting New Patients Yes. Referral may be required.

(510) 744-3688

Certification Number

HARVEY WIDROE -PRIVATE PRACTICE-

ALAMEDA WILLETT, JONATHAN

2340 WARD ST,

BERKELEY, CA 94705

Marriage and Family Therapist

CA License Number MFT84129

Other Languages

National Provider ID 1801102033

Accepting New Patients Yes. Referral may be required.

(510) 629-0853

Certification Number

JONATHAN WILLETT -PRIVATE PRACTICE-

Page 65 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA WILLIAMS, BARBARA

3671 GRAND AVE,

OAKLAND, CA 94610

Licensed Clinical Social Worker

CA License Number LCS00012137

Other Languages

National Provider ID 1851307896

Accepting New Patients Yes. Referral may be required.

(510) 420-8083

Certification Number

BARBARA WILLIAMS -PRIVATE PRACTICE-

ALAMEDA WOLFE, MARTHA

286 SANTA CLARA AVE, #E

OAKLAND, CA 94610

Marriage and Family Therapist

CA License Number 40129

Other Languages

National Provider ID 1306044615

Accepting New Patients Yes. Referral may be required.

(510) 601-1984

Certification Number

MARTHA WOLFE -PRIVATE PRACTICE-

ALAMEDA WOLFSON, ABBY

248 THE UPLANDS,

BERKELEY, CA 94705

Psychologist

CA License Number PS3962

Other Languages

National Provider ID 1396904645

Accepting New Patients Yes. Referral may be required.

(510) 985-0655

Certification Number

ABBY WOLFSON -PRIVATE PRACTICE-

ALAMEDA WOLLESON, CAROL

5435 COLLEGE AVENUE, SUITE 202-1

OAKLAND, CA 94618

Marriage and Family Therapist

CA License Number MFC21992

Other Languages

National Provider ID 1124052196

Accepting New Patients Yes. Referral may be required.

(510) 658-6655

Certification Number

CAROL WOLLESON -PRIVATE PRACTICE-

ALAMEDA WYATT, RANDALL

5776 STONERIDGE MALL RD, STE 140

PLEASANTON, CA 94588

Psychologist

CA License Number PSY12200

Other Languages

National Provider ID 1124271184

Accepting New Patients Yes. Referral may be required.

(510) 610-1097

Certification Number

RANDALL WYATT -PRIVATE PRACTICE-

ALAMEDA WYATT, RANDALL

4283 PIEDMONT AVE, #3

OAKLAND, CA 94611

Psychologist

CA License Number PSY12200

Other Languages

National Provider ID 1124271184

Accepting New Patients Yes. Referral may be required.

(510) 610-1097

Certification Number

RANDALL WYATT -PRIVATE PRACTICE-

Page 66 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA WYCOFF-MONTENEGRO, MELISSA

39420 LIBERTY ST, STE 265

FREMONT, CA 94538

Psychiatrist

CA License Number A94312

Other Languages SPANISH

National Provider ID 1396826525

Accepting New Patients Yes. Referral may be required.

(510) 744-3688

Certification Number

MELISSA WYCOFF-MONTENEGRO -PRIVATE

ALAMEDA WYSOPAL, MICHELLE

1440 BROADWAY, STE 314

OAKLAND, CA 94612

Psychologist

CA License Number 28447

Other Languages SPANISH POLISH

National Provider ID 1720375975

Accepting New Patients Yes. Referral may be required.

(888) 524-5122

Certification Number

MICHELLE WYSOPAL -PRIVATE PRACTICE-

ALAMEDA YABROFF, LAWRENCE

2340 WARD ST, STE 102

BERKELEY, CA 94705

Psychologist

CA License Number PSY9371

Other Languages

National Provider ID 1780641241

Accepting New Patients Yes. Referral may be required.

(510) 649-0640

Certification Number

LAWRENCE YABROFF -PRIVATE PRACTICE-

ALAMEDA YAROCK, DEBORAH

5435 COLLEGE AVE, STE 207

OAKLAND, CA 94618

Marriage and Family Therapist

CA License Number MFT30683

Other Languages

National Provider ID 1467993840

Accepting New Patients Yes. Referral may be required.

(510) 214-6951

Certification Number

DEBORAH YAROCK -PRIVATE PRACTICE-

ALAMEDA YAROCK, DEBORAH

3873 PIEDMONT AVE

OAKLAND, CA 94611

Marriage and Family Therapist

CA License Number MFT30683

Other Languages

National Provider ID 1467993840

Accepting New Patients Yes. Referral may be required.

(510) 214-6951

Certification Number

DEBORAH YAROCK -PRIVATE PRACTICE-

ALAMEDA YEUN-HUEY, YAN

39833 PASEO PADRE PKWY, STE E

FREMONT, CA 94538

Marriage and Family Therapist

CA License Number MFC43261

Other Languages CHINESE MANDARIN

National Provider ID 1306980859

Accepting New Patients Yes. Referral may be required.

(510) 490-9600

Certification Number

TRACEY YAN MFT

Page 67 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

ALAMEDA YOUNG, DIANA

5674 STONERIDGE DR, STE 217

PLEASANTON, CA 94588

Psychologist

CA License Number PSY 25398

Other Languages

National Provider ID 1609922905

Accepting New Patients Yes. Referral may be required.

(925) 927-7200

Certification Number

DIANA YOUNG -PRIVATE PRACTICE-

ALAMEDA ZIPPERMAN, PAUL

1521 SHATTUCK AVE, STE A

BERKELEY, CA 94709

Marriage and Family Therapist

CA License Number MFT9035

Other Languages

National Provider ID 1366578247

Accepting New Patients Yes. Referral may be required.

(510) 849-2123

Certification Number

PAUL ZIPPERMAN -PRIVATE PRACTICE-

ALAMEDA ZIPPERMAN, PAUL

1521 SHATTUCK AVE, STE A

BERKELEY, CA 94709

Marriage and Family Therapist

CA License Number MFT9035

Other Languages

National Provider ID 1366578247

Accepting New Patients Yes. Referral may be required.

(510) 849-2123

Certification Number

PAUL ZIPPERMAN -PRIVATE PRACTICE-

AMADOR COLEMAN, CHRISTINE

16 BRYSON DR,

SUTTER CREEK, CA 95685

Marriage and Family Therapist

CA License Number 21285

Other Languages

National Provider ID 1982781662

Accepting New Patients Yes. Referral may be required.

(209) 267-0550

Certification Number

CHRISTINE COLEMAN -PRIVATE PRACTICE-

AMADOR DUCRAY, JAMES

1001 BROADWAY, STE 105

JACKSON, CA 95642

Marriage and Family Therapist

CA License Number 35224

Other Languages

National Provider ID 1912221078

Accepting New Patients Yes. Referral may be required.

(209) 304-5695

Certification Number

JAMES DUCRAY -PRIVATE PRACTICE-

AMADOR PIGNATARO, KATHLEEN

621 NEW YORK RANCH RD,

JACKSON, CA 95642

Marriage and Family Therapist

CA License Number MFC47808

Other Languages

National Provider ID 1235438235

Accepting New Patients Yes. Referral may be required.

(209) 223-9088

Certification Number

KATHLEEN PIGNATARO -PRIVATE PRACTICE

Page 68 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA ABEL, JOANNE

1844 SAN MIGUEL DR, STE 311

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number MFT17666

Other Languages

National Provider ID 1316004773

Accepting New Patients Yes. Referral may be required.

(925) 254-7021

Certification Number

JOANNE ABEL -PRIVATE PRACTICE-

CONTRA COSTA ACHAMALLAH, NAGUI

3478 BUSKIRK AVE, STE 219

PLEASANT HILL, CA 94523

Psychiatrist

CA License Number A48988

Other Languages FRENCH

National Provider ID 1629057393

Accepting New Patients Yes. Referral may be required.

(925) 933-2645

Certification Number

NAGUI ACHAMALLAH -PRIVATE PRACTICE-

CONTRA COSTA ADU POKU, QUEEN

101 H ST, STE 10

ANTIOCH, CA 94509

Licensed Clinical Social Worker

CA License Number LCS25265

Other Languages

National Provider ID 1700110657

Accepting New Patients Yes. Referral may be required.

(925) 628-9948

Certification Number

QUEEN ADU POKU -PRIVATE PRACTICE-

CONTRA COSTA AMIN, FARZANA

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number A95033

Other Languages HINDI

National Provider ID 1669525911

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

FARZANA AMIN -PRIVATE PRACTICE-

CONTRA COSTA APRIL, MICHELE

5130 NEVIN AVE,

RICHMOND, CA 94805

Licensed Clinical Social Worker

CA License Number 13920

Other Languages

National Provider ID 1952322414

Accepting New Patients Yes. Referral may be required.

(510) 502-4164

Certification Number

MICHELE APRIL -PRIVATE PRACTICE-

CONTRA COSTA ASSAF, HEFTSI

13201 SAN PABLO AVE, STE 309

SAN PABLO, CA 94806

Marriage and Family Therapist

CA License Number MFC40062

Other Languages HEBREW

National Provider ID 1104953538

Accepting New Patients Yes. Referral may be required.

(510) 869-5009

Certification Number

HEFTSI ASSAF -PRIVATE PRACTICE-

Page 69 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA AULUCK, HARINDER

2301 CAMINO RAMON, STE 155

SAN RAMON, CA 94583

Psychiatrist

CA License Number A42771

Other Languages HINDI SPANISH

National Provider ID 1538111661

Accepting New Patients Yes. Referral may be required.

(888) 981-6463

Certification Number

HARINDER AULUCK -PRIVATE PRACTICE-

CONTRA COSTA BACHMANN, LISA

2 CROW CANYON CT, STE 208

SAN RAMON, CA 94583

Marriage and Family Therapist

CA License Number MFC44244

Other Languages

National Provider ID 1316107287

Accepting New Patients Yes. Referral may be required.

(510) 612-5914

Certification Number

LISA BACHMANN -PRIVATE PRACTICE-

CONTRA COSTA BAINES, VERONICA

3432 HILLCREST AVE, STE 175

ANTIOCH, CA 94531

Licensed Clinical Social Worker

CA License Number 23956

Other Languages

National Provider ID 1194847269

Accepting New Patients Yes. Referral may be required.

(925) 234-3993

Certification Number

VERONICA BAINES -PRIVATE PRACTICE-

CONTRA COSTA BARBASTE, JORGE

3725 LONE TREE WAY, STE A1

ANTIOCH, CA 94509

Marriage and Family Therapist

CA License Number MFC38822

Other Languages SPANISH

National Provider ID 1851449177

Accepting New Patients Yes. Referral may be required.

(925) 756-1334

Certification Number

JORGE O BARBASTE LMFT

CONTRA COSTA BARNHART, MARIA

3725 LONE TREE WAY, STE A1

ANTIOCH, CA 94509

Psychologist

CA License Number PSY14951

Other Languages GREEK

National Provider ID 1417067232

Accepting New Patients Yes. Referral may be required.

(925) 756-1334

Certification Number

MARIA BARNHART -PRIVATE PRACTICE-

CONTRA COSTA BARZA, ALLAN

2021 YGNACIO VALLEY RD, STE D4

WALNUT CREEK, CA 94598

Psychiatrist

CA License Number 31399

Other Languages

National Provider ID 1952475030

Accepting New Patients Yes. Referral may be required.

(925) 937-1840

Certification Number

ALLAN BARZA -PRIVATE PRACTICE-

Page 70 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA BEAVER, DANIEL

1470 MARIA LN, STE 205

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number 6201

Other Languages

National Provider ID 1770630972

Accepting New Patients Yes. Referral may be required.

(925) 876-4357

Certification Number

DANIEL BEAVER -PRIVATE PRACTICE-

CONTRA COSTA BELL, DALE

3755 ALHAMBRA AVE, STE 8

MARTINEZ, CA 94553

Marriage and Family Therapist

CA License Number LMFT53895

Other Languages

National Provider ID 1447680376

Accepting New Patients Yes. Referral may be required.

(925) 768-8475

Certification Number

DALE BELL -PRIVATE PRACTICE-

CONTRA COSTA BELL, ERICA

2255 MORELLO AVE, STE 115

PLEASANT HILL, CA 94523

Licensed Clinical Social Worker

CA License Number LCS27436

Other Languages

National Provider ID 1396873337

Accepting New Patients Yes. Referral may be required.

(925) 309-9425

Certification Number

ERICA BELL -PRIVATE PRACTICE-

CONTRA COSTA BELL, ERICA

1808 SAN MIGUEL DR,

WALNUT CREEK, CA 94596

Licensed Clinical Social Worker

CA License Number LCS27436

Other Languages

National Provider ID 1396873337

Accepting New Patients Yes. Referral may be required.

(925) 309-9425

Certification Number

ERICA BELL -PRIVATE PRACTICE-

CONTRA COSTA BIAS, ELIZABETH

2819 CROW CANYON RD, STE 219 A

SAN RAMON, CA 94583

Psychologist

CA License Number PST16873

Other Languages

National Provider ID 1114083623

Accepting New Patients Yes. Referral may be required.

(925) 275-2797

Certification Number

ELIZABETH BIAS

CONTRA COSTA BRAUNSTEIN, ELIZABETH

2817 CROW CANYON RD, STE 202

SAN RAMON, CA 94583

Psychologist

CA License Number PSY8392

Other Languages

National Provider ID 1285789339

Accepting New Patients Yes. Referral may be required.

(925) 820-0975

Certification Number

ELIZABETH BRAUNSTEIN -PRIVATE PRACTI

Page 71 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA BRIAN, GREGORY

953 MOUNTAIN VIEW DR,

LAFAYETTE, CA 94549

Marriage and Family Therapist

CA License Number 38087

Other Languages

National Provider ID 1922163542

Accepting New Patients Yes. Referral may be required.

(510) 888-3477

Certification Number

GREGORY BRIAN -PRIVATE PRACTICE-

CONTRA COSTA BRIAN, GREGORY

399 TAYLOR BLVD, STE 210

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number 38087

Other Languages

National Provider ID 1922163542

Accepting New Patients Yes. Referral may be required.

(510) 888-3477

Certification Number

GREGORY BRIAN -PRIVATE PRACTICE-

CONTRA COSTA BUTCHER, RALPH

12 CROW CANYON CT, SUITE 210

SAN RAMON, CA 94583

Marriage and Family Therapist

CA License Number LMFT39851

Other Languages

National Provider ID 1871527051

Accepting New Patients Yes. Referral may be required.

(925) 855-1007

Certification Number

RALPH BUTCHER -PRIVATE PRACTICE-

CONTRA COSTA CAMPBELL, RHONDA

2950 CAMINO DIABLO, STE 310

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number MFT32415

Other Languages

National Provider ID 1285726141

Accepting New Patients Yes. Referral may be required.

(408) 259-1933

Certification Number

RHONDA CAMPBELL -PRIVATE PRACTICE-

CONTRA COSTA CANTOR, LESLEY

2950 CAMINO DIABLO, STE 310A

WALNUT CREEK, CA 94597

Marriage and Family Therapist

CA License Number MFT49867

Other Languages

National Provider ID 1629229893

Accepting New Patients Yes. Referral may be required.

(925) 788-3621

Certification Number

LESLEY CANTOR -PRIVATE PRACTICE-

CONTRA COSTA CASTRILLO, KOSTANDINA

399 TAYLOR BLVD

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number MFC84876

Other Languages GREEK

National Provider ID 1356505242

Accepting New Patients Yes. Referral may be required.

(925) 322-0773

Certification Number

AMADOR FAMILY GROUP

Page 72 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA CHARLES MALVEAUX, WILSA

3100 OAK RD

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number G128767

Other Languages

National Provider ID 1346500360

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

WILSA CHARLES MALVEAUX -PRIVATE PRA

CONTRA COSTA CHIN, CHRISTINA

101 GREGORY LN, STE 33

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number LMFT44319

Other Languages

National Provider ID 1588795751

Accepting New Patients Yes. Referral may be required.

(925) 827-9876

Certification Number

CHRISTINA CHIN -PRIVATE PRACTICE-

CONTRA COSTA COAD, VICTORIA

125 W RICHMOND AVE,

POINT RICHMOND, CA 94801

Psychologist

CA License Number PSY12891

Other Languages

National Provider ID 1467457168

Accepting New Patients Yes. Referral may be required.

(510) 233-1992

Certification Number

VICTORIA COAD -PRIVATE PRACTICE-

CONTRA COSTA COLLINS, ELISABETH

201 N CIVIC DR, STE 183

WALNUT CREEK, CA 94596

Professional Clinical Counselor

CA License Number NP22301

Other Languages

National Provider ID 1265677983

Accepting New Patients Yes. Referral may be required.

(925) 299-9033

Certification Number

ELISABETH COLLINS -PRIVATE PRACTICE-

CONTRA COSTA DE CARBONEL, CLAUDETTE

3432 HILLCREST AVE, STE 175

ANTIOCH, CA 94531

Marriage and Family Therapist

CA License Number MFC39077

Other Languages

National Provider ID 1497974968

Accepting New Patients Yes. Referral may be required.

(650) 303-0676

Certification Number

CLAUDETTE DE CARBONEL -PRIVATE PRAC

CONTRA COSTA DE PAOLI, FRANCA

925 YGNACIO VALLEY RD, STE 102B

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number LMFT21327

Other Languages

National Provider ID 1760542435

Accepting New Patients Yes. Referral may be required.

(925) 639-6072

Certification Number

FRANCA DE PAOLI -PRIVATE PRACTICE-

Page 73 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA DE SOUSA, GINA

2644 APPIAN WAY, STE 201

PINOLE, CA 94564

Licensed Clinical Social Worker

CA License Number 8986

Other Languages PORTUGUESE

National Provider ID 1669483715

Accepting New Patients Yes. Referral may be required.

(510) 528-1176

Certification Number

GINA DE SOUSA -PRIVATE PRACTICE-

CONTRA COSTA DECOVNICK, JANICE

2865 SAN BENITO DR,

WALNUT CREEK, CA 94598

Psychologist

CA License Number PSY7973

Other Languages

National Provider ID 1407870884

Accepting New Patients Yes. Referral may be required.

(925) 938-8789

Certification Number

JANICE DECOVNICK -PRIVATE PRACTICE-

CONTRA COSTA DEMPSEY, RACHYLL

1160 BRICKYARD COVE RD, BOX 1

RICHMOND, CA 94801

Psychologist

CA License Number PSY21261

Other Languages

National Provider ID 1902037443

Accepting New Patients Yes. Referral may be required.

(888) 524-5122

Certification Number

RACHYLL DEMPSEY -PRIVATE PRACTICE-

CONTRA COSTA DESAMPARO, NICOLE

399 TAYLOR BLVD, STE 210

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number 48275

Other Languages

National Provider ID 1396896213

Accepting New Patients Yes. Referral may be required.

(925) 482-6215

Certification Number

NICOLE DESAMPARO -PRIVATE PRACTICE-

CONTRA COSTA DI RIENZO, JULIA

1460 MARIA LN, STE 310

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number MFC43595

Other Languages SPANISH

National Provider ID 1003056631

Accepting New Patients Yes. Referral may be required.

(925) 937-9707

Certification Number

JULIA DI RIENZO -PRIVATE PRACTICE-

CONTRA COSTA DITTER, SUSAN

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number G87843

Other Languages

National Provider ID 1710188438

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

SUSAN DITTER -PRIVATE PRACTICE-

Page 74 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA DONOVAN, SHARON

2551 SAN RAMON VALLY BLVD, STE 246

SAN RAMON, CA 94583

Marriage and Family Therapist

CA License Number 12588

Other Languages

National Provider ID 1972722049

Accepting New Patients Yes. Referral may be required.

(925) 831-9876

Certification Number

SHARON DONOVAN -PRIVATE PRACTICE-

CONTRA COSTA DUNN, KATHIE

1236 ULFINIAN WAY,

MARTINEZ, CA 94553

Marriage and Family Therapist

CA License Number MFC41025

Other Languages

National Provider ID 1295916518

Accepting New Patients Yes. Referral may be required.

(707) 227-2627

Certification Number

KATHIE DUNN LMFT

CONTRA COSTA EVANS, ROBERT

3744 MT DIABLO BLVD, STE 103

LAFAYETTE, CA 94549

Psychologist

CA License Number PSY9491

Other Languages

National Provider ID 1841203668

Accepting New Patients Yes. Referral may be required.

(925) 284-2303

Certification Number

ROBERT M EVANS PHD

CONTRA COSTA EVERED, LAEEQ

3050 CITRUS CIR, STE 202

WALNUT CREEK, CA 94598

Psychologist

CA License Number PSY18494

Other Languages

National Provider ID 1619050069

Accepting New Patients Yes. Referral may be required.

(510) 543-6836

Certification Number

LAEEQ EVERED -PRIVATE PRACTICE-

CONTRA COSTA EWING, NANCY

6323 FAIRMOUNT AVE,

EL CERRITO, CA 94530

Psychologist

CA License Number MFT8879

Other Languages

National Provider ID 1043361819

Accepting New Patients Yes. Referral may be required.

(510) 528-9955

Certification Number

NANCY EWING -PRIVATE PRACTICE-

CONTRA COSTA FASSE, CHRISTINA

399 TAYLOR BLVD, STE 210

PLEASANT HILL, CA 94523

Psychologist

CA License Number PSY17872

Other Languages

National Provider ID 1023176005

Accepting New Patients Yes. Referral may be required.

(925) 685-9463

Certification Number

CHRISTINA FASSE -PRIVATE PRACTICE-

Page 75 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA FEIGELMAN, GLEN

2643 APPIAN WAY, STE A1

PINOLE, CA 94564

Licensed Clinical Social Worker

CA License Number LCS15849

Other Languages

National Provider ID 1609813955

Accepting New Patients Yes. Referral may be required.

(510) 758-4039

Certification Number

GLEN FEIGELMAN -PRIVATE PRACTICE-

CONTRA COSTA FELDSHTERN, EVGENIA

3150 HILLTOP MALL RD, STE 4

SAN PABLO, CA 94806

Marriage and Family Therapist

CA License Number MFC43776

Other Languages RUSSIAN

National Provider ID 1639444821

Accepting New Patients Yes. Referral may be required.

(510) 717-9061

Certification Number

EVGENIA FELDSHTERN -PRIVATE PRACTICE

CONTRA COSTA FERSHTMAN, SANDRA

501 KEARNEY ST, #D

EL CERRITO, CA 94530

Marriage and Family Therapist

CA License Number MFC00020023

Other Languages

National Provider ID 1396751400

Accepting New Patients Yes. Referral may be required.

(510) 524-2411

Certification Number

SANDRA FERSHTMAN -PRIVATE PRACTICE-

CONTRA COSTA FETZ, DANA

3150 HILLTOP MALL RD, STE 4

RICHMOND, CA 94806

Marriage and Family Therapist

CA License Number 29024

Other Languages

National Provider ID 1710908579

Accepting New Patients Yes. Referral may be required.

(510) 741-0721

Certification Number

DANA FETZ -PRIVATE PRACTICE-

CONTRA COSTA FIELD, ROBERT

907 SAN RAMON VALLEY BLVD, STE 202

DANVILLE, CA 94526

Psychologist

CA License Number 5705

Other Languages

National Provider ID 1558418186

Accepting New Patients Yes. Referral may be required.

(925) 743-1370

Certification Number

ROBERT FIELD -PRIVATE PRACTICE-

CONTRA COSTA FIELD, ROBERT

2355 SAN RAMON VALLEY BLV,

SAN RAMON, CA 94583

Psychologist

CA License Number 5705

Other Languages

National Provider ID 1558418186

Accepting New Patients Yes. Referral may be required.

(925) 743-1370

Certification Number

ROBERT FIELD -PRIVATE PRACTICE-

Page 76 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA FISHER, WILLIAM

1855 OLYMPIC BLVD, STE 251855

WALNUT CREEK, CA 94596

Psychiatrist

CA License Number G77013

Other Languages KOREAN

National Provider ID 1134253354

Accepting New Patients Yes. Referral may be required.

(905) 299-9033

Certification Number

WILLIAM FISHER -PRIVATE PRACTICE-

CONTRA COSTA FISHER, WILLIAM

201 N CIVIC DR,

WALNUT CREEK, CA 94596

Psychiatrist

CA License Number G77013

Other Languages KOREAN

National Provider ID 1134253354

Accepting New Patients Yes. Referral may be required.

(925) 299-9033

Certification Number

WILLIAM FISHER -PRIVATE PRACTICE-

CONTRA COSTA FLAKOLL, DAVID

101 GREGORY LN, STE 33

PLEASANT HILL, CA 94523

Psychologist

CA License Number PSY4358

Other Languages SPANISH

National Provider ID 1093849689

Accepting New Patients Yes. Referral may be required.

(925) 827-9876

Certification Number

DAVID FLAKOLL, PH.D.

CONTRA COSTA FRONT, ADAM

199 E LINDA MESA AVE, STE 2

DANVILLE, CA 94526

Psychologist

CA License Number PSY15267

Other Languages

National Provider ID 1366593733

Accepting New Patients Yes. Referral may be required.

(510) 703-6677

Certification Number

ADAM L FRONT PHD

CONTRA COSTA GASPERONI, JOHN

3050 CITRUS CIR, STE 202

WALNUT CREEK, CA 94598

Psychologist

CA License Number PSY11734

Other Languages

National Provider ID 1619940178

Accepting New Patients Yes. Referral may be required.

(925) 279-1046

Certification Number

JOHN LINO GASPERONI PHD PSYCHO

CONTRA COSTA GIACALONE, ARTHUR

605 PREAKNESS DR,

WALNUT CREEK, CA 94597

Psychologist

CA License Number 11425

Other Languages

National Provider ID 1114146545

Accepting New Patients Yes. Referral may be required.

(925) 256-9069

Certification Number

ARTHUR GIACALONE -PRIVATE PRACTICE-

Page 77 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA GOODMAN, LYNN

3496 BUSKIRK AVE, STE 103

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number 28435

Other Languages

National Provider ID 1447497474

Accepting New Patients Yes. Referral may be required.

(925) 609-9260

Certification Number

LYNN GOODMAN -PRIVATE PRACTICE-

CONTRA COSTA GOULD, BRADLEY

907 SAN RAMON VALLEY BLVD, STE 202

DANVILLE, CA 94526

Psychiatrist

CA License Number G32165

Other Languages

National Provider ID 1477620151

Accepting New Patients Yes. Referral may be required.

(925) 743-7887

Certification Number

BRADLEY H GOULD MD INC

CONTRA COSTA GOULD, TOBY

935 MORAGA RD, STE 215

LAFAYETTE, CA 94549

Marriage and Family Therapist

CA License Number MT22924

Other Languages

National Provider ID 1720152135

Accepting New Patients Yes. Referral may be required.

(925) 906-8938

Certification Number

TOBY GOULD -PRIVATE PRACTICE-

CONTRA COSTA GOULD, TOBY

5119 LONE TREE WAY, STE B

ANTIOCH, CA 94531

Marriage and Family Therapist

CA License Number MT22924

Other Languages

National Provider ID 1720152135

Accepting New Patients Yes. Referral may be required.

(925) 906-8938

Certification Number

TOBY GOULD -PRIVATE PRACTICE-

CONTRA COSTA GRADWELL, LOIS

43 QUAIL CT, STE 213

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number MFC19454

Other Languages

National Provider ID 1811968860

Accepting New Patients Yes. Referral may be required.

(925) 943-1274

Certification Number

LOIS GRADWELL -PRIVATE PRACTICE-

CONTRA COSTA GRANT, JERRIANN

3075 CITRUS CIR, STE 165

WALNUT CREEK, CA 94598

Marriage and Family Therapist

CA License Number 43370

Other Languages

National Provider ID 1942330162

Accepting New Patients Yes. Referral may be required.

(925) 698-9379

Certification Number

JERRIANN GRANT -PRIVATE PRACTICE-

Page 78 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA GREEN, DEBRA

399 TAYLOR BLVD, STE 210

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number MFT28440

Other Languages HEBREW

National Provider ID 1346323490

Accepting New Patients Yes. Referral may be required.

(925) 685-9463

Certification Number

AMADOR FAMILY CENTER

CONTRA COSTA GREENE, SUSAN

11100 SAN PABLO AVE, STE 216

EL CERRITO, CA 94530

Psychologist

CA License Number PSY6684

Other Languages

National Provider ID 1346334711

Accepting New Patients Yes. Referral may be required.

(510) 233-8402

Certification Number

SUSAN GREENE -PRIVATE PRACTICE-

CONTRA COSTA GRESSEL, JOSH

399 TAYLOR BLVD, STE 210

PLEASANT HILL, CA 94523

Psychologist

CA License Number PSY16252

Other Languages GERMAN HEBREW

National Provider ID 1811969876

Accepting New Patients Yes. Referral may be required.

(925) 685-9463

Certification Number

JOSH GRESSEL PHD

CONTRA COSTA GRESSEL, NOGA

399 TAYLOR BLVD, STE 210

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number 39926

Other Languages HEBREW

National Provider ID 1306924568

Accepting New Patients Yes. Referral may be required.

(925) 685-9682

Certification Number

NOGA GRESSEL MFT

CONTRA COSTA GUTKIN, MIKHAIL

2930 CAMINO DIABLO, STE 305

WALNUT CREEK, CA 94597

Psychologist

CA License Number PSY24794

Other Languages RUSSIAN

National Provider ID 1679601041

Accepting New Patients Yes. Referral may be required.

(925) 276-2002

Certification Number

MIKHAIL GUTKIN -PRIVATE PRACTICE-

CONTRA COSTA HAAS, MICHAEL

566 WOODMONT AVE,

BERKELEY, CA 94708

Marriage and Family Therapist

CA License Number 28453

Other Languages DANISH FRENCH

National Provider ID 1568695427

Accepting New Patients Yes. Referral may be required.

(510) 526-2118

Certification Number

MICHAEL HAAS -PRIVATE PRACTICE-

Page 79 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA HAMEL, JOHN

2910 CAMINO DIABLO, STE 130

WALNUT CREEK, CA 94597

Licensed Clinical Social Worker

CA License Number 15194

Other Languages

National Provider ID 1548329501

Accepting New Patients Yes. Referral may be required.

(925) 930-0900

Certification Number

JOHN HAMEL -PRIVATE PRACTICE-

CONTRA COSTA HART, MARY

3150 HILLTOP MALL RD,

SAN PABLO, CA 94806

Marriage and Family Therapist

CA License Number 34934

Other Languages

National Provider ID 1871926972

Accepting New Patients Yes. Referral may be required.

(510) 520-3280

Certification Number

MARY HART -PRIVATE PRACTICE-

CONTRA COSTA HART, MARY

3150 HILLTOP MALL RD, STE 15

SAN PABLO, CA 94806

Marriage and Family Therapist

CA License Number 34934

Other Languages

National Provider ID 1871926972

Accepting New Patients Yes. Referral may be required.

(510) 520-3280

Certification Number

MARY HART -PRIVATE PRACTICE-

CONTRA COSTA HEISLER, MARILYN

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Marriage and Family Therapist

CA License Number MFC15335

Other Languages

National Provider ID 1982767588

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

MARILYN HEISLER -PRIVATE PRACTICE-

CONTRA COSTA HENDRA, CANDACE

1844 SAN MIGUEL DR, STE 300B

WALNUT CREEK, CA 94596

Licensed Clinical Social Worker

CA License Number LCS10411

Other Languages

National Provider ID 1821192105

Accepting New Patients Yes. Referral may be required.

(925) 944-1186

Certification Number

CANDACE HENDRA -PRIVATE PRACTICE-

CONTRA COSTA HOGAN, NANETTE

466 MOUNT ST

RICHMOND, CA 94805

Licensed Clinical Social Worker

CA License Number MFC44447

Other Languages

National Provider ID 1154520898

Accepting New Patients Yes. Referral may be required.

(510) 504-2268

Certification Number

NANETTE HOGAN MFT

Page 80 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA HOKANSON, CAROLYN

1600 S MAIN ST, STE 177

WALNUT CREEK, CA 94596

Psychologist

CA License Number PSY7215

Other Languages

National Provider ID 1851452874

Accepting New Patients Yes. Referral may be required.

(925) 932-1270

Certification Number

CAROLYN F HORANSON PHD

CONTRA COSTA HOWARD, CLAIR

2926 LONE TREE WAY,

ANTIOCH, CA 94509

Psychologist

CA License Number PSY00016263

Other Languages SPANISH TAGALOG

National Provider ID 1922155530

Accepting New Patients Yes. Referral may be required.

(925) 522-0465

Certification Number

CLAIR HOWARD -PRIVATE PRACTICE-

CONTRA COSTA HOWARD, JANET

1700 YGNACIO VALLEY RD, STE 200

WALNUT CREEK, CA 94598

Marriage and Family Therapist

CA License Number 13990

Other Languages

National Provider ID 1487620142

Accepting New Patients Yes. Referral may be required.

(925) 945-2486

Certification Number

WALNUT CREEK COUNSELING ASSOCI

CONTRA COSTA HUNT, I LENORE

3075 CITRUS CIR, STE 165

WALNUT CREEK, CA 94598

Marriage and Family Therapist

CA License Number MFC41304

Other Languages

National Provider ID 1912016908

Accepting New Patients Yes. Referral may be required.

(925) 290-7867

Certification Number

SILVER FERN CHILD FAMILY THERA

CONTRA COSTA IDELSON, JEFFREY

1966 TICE VALLEY BLVD, STE 248

WALNUT CREEK, CA 94595

Marriage and Family Therapist

CA License Number MFT16360

Other Languages

National Provider ID 1689726994

Accepting New Patients Yes. Referral may be required.

(925) 938-7057

Certification Number

JEFF IDELSON

CONTRA COSTA JAGEL, JADU

877 YGNACIO VALLEY RD, STE 102

WALNUT CREEK, CA 94596

Psychologist

CA License Number 23468

Other Languages

National Provider ID 1003979477

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JADU JAGEL -PRIVATE PRACTICE-

Page 81 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA JAHANGIRI, MOHAMMAD

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number A56400

Other Languages HINDI

National Provider ID 1720266760

Accepting New Patients Yes. Referral may be required.

(925) 944-1733

Certification Number

MOHAMMAD JAHANGIRI -PRIVATE PRACTIC

CONTRA COSTA JAHANGIRI, MOHAMMAD

2940 CAMINO DIABLO, STE 320

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number A56400

Other Languages HINDI

National Provider ID 1720266760

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

MOHAMMAD JAHANGIRI -PRIVATE PRACTIC

CONTRA COSTA JAMES-FRIEDMAN, JACQUELINE

158 E 3RD ST,

PITTSBURG, CA 94565

Marriage and Family Therapist

CA License Number HI184

Other Languages

National Provider ID 1376795641

Accepting New Patients Yes. Referral may be required.

(925) 528-9965

Certification Number

JACQUELINE JAMES-FRIEDMAN -PRIVATE P

CONTRA COSTA JOHNSTONE, MARGARET

1450 TREAT BLVD, STE 200

WALNUT CREEK, CA 94597

Professional Clinical Counselor

CA License Number NP14501

Other Languages

National Provider ID 1134229347

Accepting New Patients Yes. Referral may be required.

(800) 257-8715

Certification Number

MARGARET JOHNSTONE -PRIVATE PRACTIC

CONTRA COSTA JONES, ANDREA

2940 CAMINO DIABLO, STE 300

WALNUT CREEK, CA 94597

Marriage and Family Therapist

CA License Number LMFT39826

Other Languages

National Provider ID 1366542144

Accepting New Patients Yes. Referral may be required.

(510) 295-9137

Certification Number

ANDREA W JONES MFT

CONTRA COSTA JONES-KAZAN, DENISE

6323 FAIRMOUNT AVE,

EL CERRITO, CA 94530

Licensed Clinical Social Worker

CA License Number 18834

Other Languages

National Provider ID 1235259359

Accepting New Patients Yes. Referral may be required.

(510) 254-1583

Certification Number

DENISE JONES-KAZAN -PRIVATE PRACTICE-

Page 82 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA JONES-KAZAN, DENISE

6500 FAIRMOUNT AVE, STE 9

EL CERRITO, CA 94530

Licensed Clinical Social Worker

CA License Number 18834

Other Languages

National Provider ID 1235259359

Accepting New Patients Yes. Referral may be required.

(510) 254-1583

Certification Number

DENISE JONES-KAZAN -PRIVATE PRACTICE-

CONTRA COSTA JORDAN BRACKETT, SANDRA

425 OAK ST, STE C3

BRENTWOOD, CA 94513

Marriage and Family Therapist

CA License Number LMFT39644

Other Languages

National Provider ID 1386793016

Accepting New Patients Yes. Referral may be required.

(925) 808-5544

Certification Number

SANDRA JORDAN BRACKETT -PRIVATE PRA

CONTRA COSTA KAFELE, DAJENYA

3150 HILLTOP MALL RD, STE 41

SAN PABLO, CA 94806

Licensed Clinical Social Worker

CA License Number 27715

Other Languages

National Provider ID 1467684795

Accepting New Patients Yes. Referral may be required.

(510) 672-0772

Certification Number

DAJENYA KAFELE -PRIVATE PRACTICE-

CONTRA COSTA KARMIOL, BONNIE

913 SAN RAMON VALLEY BLVD, STE 280

DANVILLE, CA 94526

Licensed Clinical Social Worker

CA License Number LCS16409

Other Languages

National Provider ID 1205980794

Accepting New Patients Yes. Referral may be required.

(925) 830-1833

Certification Number

BONNIE KARMIOL -PRIVATE PRACTICE-

CONTRA COSTA KARR, RODNEY

2950 CHERRY LN,

WALNUT CREEK, CA 94597

Psychologist

CA License Number PSY6906

Other Languages

National Provider ID 1669499273

Accepting New Patients Yes. Referral may be required.

(415) 931-1934

Certification Number

RODNEY KARR -PRIVATE PRACTICE-

CONTRA COSTA KERN, DIANE

1415 OAKLAND BLVD, STE 100

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number MFC00003935

Other Languages

National Provider ID 1700933470

Accepting New Patients Yes. Referral may be required.

(925) 943-5503

Certification Number

DIANE KERN -PRIVATE PRACTICE-

Page 83 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA KHAN, SHAHBAZ

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number A53269

Other Languages FARSI

National Provider ID 1619048295

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

SHAHBAZ KHAN -PRIVATE PRACTICE-

CONTRA COSTA KLECKNER, KAREN

1200 MT DIABLO BLVD, STE 405

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number LMFT36872

Other Languages

National Provider ID 1801802467

Accepting New Patients Yes. Referral may be required.

(925) 210-0817

Certification Number

KAREN KLECKNER -PRIVATE PRACTICE-

CONTRA COSTA KNIGHT, SUSAN

45 QUAIL CT, STE 200

WALNUT CREEK, CA 94596

Licensed Clinical Social Worker

CA License Number LCSW9099

Other Languages

National Provider ID 1114080918

Accepting New Patients Yes. Referral may be required.

(707) 373-7024

Certification Number

SUSAN KNIGHT -PRIVATE PRACTICE-

CONTRA COSTA KRAUS, GEORGE

3496 BUSKIRK AVE, STE 102

PLEASANT HILL, CA 94523

Psychologist

CA License Number 24617

Other Languages

National Provider ID 1184644163

Accepting New Patients Yes. Referral may be required.

(925) 238-6466

Certification Number

GEORGE KRAUS PHD

CONTRA COSTA KRENEK, ROBIN

2819 CROW CANYON RD, STE 219C

SAN RAMON, CA 94583

Psychologist

CA License Number PSY13722

Other Languages

National Provider ID 1932276391

Accepting New Patients Yes. Referral may be required.

(925) 820-8162

Certification Number

ROBIN KRENEK -PRIVATE PRACTICE-

CONTRA COSTA KROMPIER, ANDREW

5401 NORRIS CANYON RD, STE 314

SAN RAMON, CA 94583

Psychiatrist

CA License Number G31269

Other Languages

National Provider ID 1528032901

Accepting New Patients Yes. Referral may be required.

(925) 277-1747

Certification Number

ANDREW KROMPIER -PRIVATE PRACTICE-

Page 84 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA KROMPIER, ANDREW

5401 NORRIS CANYON RD, STE 314

SAN RAMON, CA 94583

Psychiatrist

CA License Number G00031269

Other Languages

National Provider ID 1528032901

Accepting New Patients Yes. Referral may be required.

(925) 277-1747

Certification Number

ANDREW KROMPIER -PRIVATE PRACTICE-

CONTRA COSTA KROMPIER, SHELLEY

5401 NORRIS CANYON RD, STE 314

SAN RAMON, CA 94583

Licensed Clinical Social Worker

CA License Number LCS12345

Other Languages

National Provider ID 1306174586

Accepting New Patients Yes. Referral may be required.

(925) 947-0823

Certification Number

SHELLEY KROMPIER -PRIVATE PRACTICE-

CONTRA COSTA KRUSE, DOROTHY

140 MAYHEW WAY, STE 702

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number MFC35063

Other Languages

National Provider ID 1356673057

Accepting New Patients Yes. Referral may be required.

(925) 465-3899

Certification Number

DOROTHY KRUSE -PRIVATE PRACTICE-

CONTRA COSTA KWOK, JENNIFER

1450 TREAT BLVD,

WALNUT CREEK, CA 94597

Professional Clinical Counselor

CA License Number NP95053747

Other Languages SPANISH

National Provider ID 1285932426

Accepting New Patients Yes. Referral may be required.

(925) 296-9860

Certification Number

JENNIFER KWOK -PRIVATE PRACTICE-

CONTRA COSTA LACUESTA, MARIA

2 CROW CANYON CT, STE 200

SAN RAMON, CA 94583

Licensed Clinical Social Worker

CA License Number LCS9826

Other Languages

National Provider ID 1881766517

Accepting New Patients Yes. Referral may be required.

(925) 838-2027

Certification Number

MARIA BERRIS LACUESTA LCSW

CONTRA COSTA LACUESTA, MARIA

2 CROW CANYON CT, STE 200

SAN RAMON, CA 94583

Licensed Clinical Social Worker

CA License Number LCS9826

Other Languages

National Provider ID 1881766517

Accepting New Patients Yes. Referral may be required.

(925) 838-2027

Certification Number

MARIA BERRIS LACUESTA LCSW

Page 85 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA LANGER, LAURIE

1849 BONANZA ST,

WALNUT CREEK, CA 94596

Licensed Clinical Social Worker

CA License Number LCSW00007518

Other Languages

National Provider ID 1700076130

Accepting New Patients Yes. Referral may be required.

(925) 946-1622

Certification Number

LAURIE LANGER -PRIVATE PRACTICE-

CONTRA COSTA LEEDS, DEBORAH

399 TAYLOR BLVD, STE 210

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number MFC29407

Other Languages AMERICAN SIGN LANGUAGE

National Provider ID 1164502217

Accepting New Patients Yes. Referral may be required.

(925) 685-9463

Certification Number

DEBORAH LEEDS -PRIVATE PRACTICE-

CONTRA COSTA LEMASTER, SHANNON

1855 OLYMPIC BLVD, STE 250

WALNUT CREEK, CA 94596

Psychiatrist

CA License Number A115681

Other Languages

National Provider ID 1710197041

Accepting New Patients Yes. Referral may be required.

(925) 299-9033

Certification Number

SHANNON LEMASTER -PRIVATE PRACTICE-

CONTRA COSTA LEMASTER, SHANNON

201 N CIVIC DR, STE 183

WALNUT CREEK, CA 94596

Psychiatrist

CA License Number A115681

Other Languages

National Provider ID 1710197041

Accepting New Patients Yes. Referral may be required.

(925) 299-9033

Certification Number

SHANNON LEMASTER -PRIVATE PRACTICE-

CONTRA COSTA LIUSKA, CYNTHIA

501 KEARNEY ST,

EL CERRITO, CA 94530

Marriage and Family Therapist

CA License Number 40169

Other Languages

National Provider ID 1093901688

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

CYNTHIA LIUSKA -PRIVATE PRACTICE-

CONTRA COSTA LOTT, DEANN

160 E 3RD ST, STE 103

PITTSBURG, CA 94565

Licensed Clinical Social Worker

CA License Number 25481

Other Languages

National Provider ID 1659572576

Accepting New Patients Yes. Referral may be required.

(925) 437-1165

Certification Number

DEANN LOTT -PRIVATE PRACTICE-

Page 86 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA MACK, KIM

777 SONOMA ST,

RICHMOND, CA 94805

Marriage and Family Therapist

CA License Number 22328

Other Languages

National Provider ID 1699896795

Accepting New Patients Yes. Referral may be required.

(510) 215-9665

Certification Number

KIM MACK -PRIVATE PRACTICE-

CONTRA COSTA MADDOX, JONATHAN

2131 SAN PABLO AVE,

PINOLE, CA 94564

Marriage and Family Therapist

CA License Number MFC39820

Other Languages

National Provider ID 1649339631

Accepting New Patients Yes. Referral may be required.

(510) 384-0437

Certification Number

JONATHAN MADDOX -PRIVATE PRACTICE-

CONTRA COSTA MAHOOD, CAMILLE

3075 CITRUS CIR, STE 165

WALNUT CREEK, CA 94598

Marriage and Family Therapist

CA License Number 90869

Other Languages

National Provider ID 1598915647

Accepting New Patients Yes. Referral may be required.

(925) 553-3376

Certification Number

CAMILLE MAHOOD -PRIVATE PRACTICE-

CONTRA COSTA MAISEL, RICHARD

1415 OAKLAND BLVD, STE 100

WALNUT CREEK, CA 94596

Psychologist

CA License Number PSY00013594

Other Languages

National Provider ID 1730193822

Accepting New Patients Yes. Referral may be required.

(510) 526-2710

Certification Number

RICHARD MAISEL -PRIVATE PRACTICE-

CONTRA COSTA MAITA, ANTOINETTE

1200 MT DIABLO BLVD, STE 404

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number MFC32941

Other Languages

National Provider ID 1437308053

Accepting New Patients Yes. Referral may be required.

(925) 324-0703

Certification Number

ANTOINETTE MAITA -PRIVATE PRACTICE-

CONTRA COSTA MANFIELD, JANET

1844 SAN MIGUEL DR, STE 311

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number MFC12774

Other Languages

National Provider ID 1770724668

Accepting New Patients Yes. Referral may be required.

(510) 333-7501

Certification Number

JANET MANFIELD -PRIVATE PRACTICE-

Page 87 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA MANFIELD, JANET

1844 SAN MIGUEL DR, STE 311

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number MFT12774

Other Languages

National Provider ID 1770724668

Accepting New Patients Yes. Referral may be required.

(510) 333-7501

Certification Number

JANET MANFIELD -PRIVATE PRACTICE-

CONTRA COSTA MANFIELD, JANET

1844 SAN MIGUEL DR, STE 317

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number 12774

Other Languages

National Provider ID 1770724668

Accepting New Patients Yes. Referral may be required.

(925) 944-0805

Certification Number

JANET MANFIELD -PRIVATE PRACTICE-

CONTRA COSTA MARON, WENDY

630 HUMBOLDT ST,

RICHMOND, CA 94805

Marriage and Family Therapist

CA License Number 13123

Other Languages

National Provider ID 1548312689

Accepting New Patients Yes. Referral may be required.

(510) 233-0998

Certification Number

WENDY MARON -PRIVATE PRACTICE-

CONTRA COSTA MARTIN-BLAIR, MARY

140 MAYHEW WAY, STE 501

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number M17946

Other Languages

National Provider ID 1477523389

Accepting New Patients Yes. Referral may be required.

(925) 930-6290

Certification Number

MARY MARTIN-BLAIR -PRIVATE PRACTICE-

CONTRA COSTA MCCAHON, KRISTI

1450 TREAT BLVD,

WALNUT CREEK, CA 94597

Professional Clinical Counselor

CA License Number NP15601

Other Languages

National Provider ID 1891834115

Accepting New Patients Yes. Referral may be required.

(800) 257-8715

Certification Number

KRISTI MCCAHON -PRIVATE PRACTICE-

CONTRA COSTA MCHUGH, MINDY

12 CROW CANYON CT, STE 210

SAN RAMON, CA 94583

Marriage and Family Therapist

CA License Number MFC39852

Other Languages

National Provider ID 1407880685

Accepting New Patients Yes. Referral may be required.

(925) 855-1320

Certification Number

MINDY MCHUGH -PRIVATE PRACTICE-

Page 88 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA MCREYNOLDS, VICKI

43 QUAIL CT, STE 211

WALNUT CREEK, CA 94596

Marriage and Family Therapist

CA License Number 35770

Other Languages

National Provider ID 1548311285

Accepting New Patients Yes. Referral may be required.

(925) 631-1299

Certification Number

VICKI MCREYNOLDS -PRIVATE PRACTICE-

CONTRA COSTA MILLER, MARC

1280 BOULEVARD WAY, STE 203

WALNUT CREEK, CA 94595

Psychologist

CA License Number 15728

Other Languages

National Provider ID 1902908650

Accepting New Patients Yes. Referral may be required.

(510) 528-4441

Certification Number

MARC MILLER -PRIVATE PRACTICE-

CONTRA COSTA MILNES, ELIZABETH

3150 HILLTOP MALL RD

SAN PABLO, CA 94806

Psychologist

CA License Number PSY12525

Other Languages

National Provider ID 1952408973

Accepting New Patients Yes. Referral may be required.

(510) 262-7658

Certification Number

ELIZABETH MILNES -PRIVATE PRACTICE-

CONTRA COSTA MIYAMOTO, SATOKO

1855 OLYMPIC BLVD, STE 250

WALNUT CREEK, CA 94596

Psychiatrist

CA License Number 20A8319

Other Languages

National Provider ID 1588839146

Accepting New Patients Yes. Referral may be required.

(925) 299-9033

Certification Number

SATOKO MIYAMOTO -PRIVATE PRACTICE-

CONTRA COSTA MOLINA, MARRAH

2643 APPIAN WAY, STE A2

PINOLE, CA 94564

Licensed Clinical Social Worker

CA License Number LCS28771

Other Languages TAGALOG

National Provider ID 1447514559

Accepting New Patients Yes. Referral may be required.

(510) 854-8220

Certification Number

MARRAH MOLINA -PRIVATE PRACTICE-

CONTRA COSTA MONTGOMERY, CHARLES

111 DEERWOOD RD, STE 360

SAN RAMON, CA 94583

Psychiatrist

CA License Number A69876

Other Languages

National Provider ID 1689730772

Accepting New Patients Yes. Referral may be required.

(925) 736-8584

Certification Number

CHARLES MONTGOMERY -PRIVATE PRACTI

Page 89 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA MOORE, AMY

23 ALTARINDA RD, STE 102

ORINDA, CA 94563

Psychologist

CA License Number 23805

Other Languages

National Provider ID 1629115472

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

AMY MOORE -PRIVATE PRACTICE-

CONTRA COSTA MOORE, JAMES

1844 SAN MIGUEL DR, STE 300A

WALNUT CREEK, CA 94596

Psychologist

CA License Number PSY4917

Other Languages

National Provider ID 1225138282

Accepting New Patients Yes. Referral may be required.

(925) 935-4448

Certification Number

JAMES MOORE -PRIVATE PRACTICE-

CONTRA COSTA MORALES, MILCIADES

2225 BUCHANAN RD, STE C

ANTIOCH, CA 94509

Licensed Clinical Social Worker

CA License Number LCS6187

Other Languages SPANISH SPANISH

National Provider ID 1437254687

Accepting New Patients Yes. Referral may be required.

(925) 783-0612

Certification Number

MILCIADES MORALES -PRIVATE PRACTICE-

CONTRA COSTA MORALES, MILCIADES

2225 BUCHANAN RD, STE C

ANTIOCH, CA 94509

Licensed Clinical Social Worker

CA License Number LCS00006187

Other Languages SPANISH SPANISH

National Provider ID 1437254687

Accepting New Patients Yes. Referral may be required.

(925) 783-0612

Certification Number

MILCIADES MORALES -PRIVATE PRACTICE-

CONTRA COSTA MULLIN, MARY

23 ALTARINDA RD, STE 202

ORINDA, CA 94563

Marriage and Family Therapist

CA License Number MFT7192

Other Languages

National Provider ID 1134140692

Accepting New Patients Yes. Referral may be required.

(925) 254-6333

Certification Number

MARY M MULLIN

CONTRA COSTA NEMETZ, EILEEN

3000 CITRUS CIR, STE 112

WALNUT CREEK, CA 94598

Marriage and Family Therapist

CA License Number LMFT35790

Other Languages

National Provider ID 1508013954

Accepting New Patients Yes. Referral may be required.

(925) 210-1414

Certification Number

EILEEN R. NEMETZ

Page 90 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA NOVAK-NIZAMI, SUSAN

2400 BALFOUR RD, STE 201

BRENTWOOD, CA 94513

Professional Clinical Counselor

CA License Number 95004895

Other Languages

National Provider ID 1477920841

Accepting New Patients Yes. Referral may be required.

(925) 308-8171

Certification Number

SUSAN NOVAK-NIZAMI -PRIVATE PRACTICE-

CONTRA COSTA OAKLEY, DANIEL

1910 OLYMPIC BLVD, STE 220

WALNUT CREEK, CA 94596

Psychologist

CA License Number 23659

Other Languages

National Provider ID 1568742567

Accepting New Patients Yes. Referral may be required.

(925) 283-3073

Certification Number

DANIEL OAKLEY -PRIVATE PRACTICE-

CONTRA COSTA O'CONNOR, ELIZABETH

2926 LONE TREE WAY,

ANTIOCH, CA 94509

Psychologist

CA License Number PSY13606

Other Languages

National Provider ID 1982614996

Accepting New Patients Yes. Referral may be required.

(925) 948-0099

Certification Number

ELIZABETH O'CONNOR -PRIVATE PRACTICE-

CONTRA COSTA O'CONNOR, ELIZABETH

39 QUAIL CT, STE 305

WALNUT CREEK, CA 94596

Psychologist

CA License Number PSY13606

Other Languages

National Provider ID 1982614996

Accepting New Patients Yes. Referral may be required.

(925) 948-0099

Certification Number

ELIZABETH O'CONNOR -PRIVATE PRACTICE-

CONTRA COSTA PALMER, ROLF

1849 BONANZA ST,

WALNUT CREEK, CA 94596

Psychiatrist

CA License Number A39999

Other Languages FRENCH SWEDISH

National Provider ID 1710936166

Accepting New Patients Yes. Referral may be required.

(925) 933-3902

Certification Number

ROLF PALMER -PRIVATE PRACTICE-

CONTRA COSTA PARTINGTON, JAMES

309 LENNON LN, STE 104

WALNUT CREEK, CA 94598

Psychologist

CA License Number 1-99-0177

Other Languages THAI CHINESE SPANISH

National Provider ID 1174837132

Accepting New Patients Yes. Referral may be required.

(925) 210-9370

Certification Number

JAMES PARTINGTON -PRIVATE PRACTICE-

Page 91 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA PEDROTTI, CAROLYN

1868 CLAYTON RD, STE 133

CONCORD, CA 94520

Licensed Clinical Social Worker

CA License Number LCSS10839

Other Languages FRENCH

National Provider ID 1306948864

Accepting New Patients Yes. Referral may be required.

(925) 687-1825

Certification Number

CAROLYN PEDROTTI -PRIVATE PRACTICE-

CONTRA COSTA PERA, TASHA

539 LEXINGTON AVE,

EL CERRITO, CA 94530

Marriage and Family Therapist

CA License Number MFC44937

Other Languages

National Provider ID 1871739136

Accepting New Patients Yes. Referral may be required.

(510) 612-0284

Certification Number

TASHA PERA -PRIVATE PRACTICE-

CONTRA COSTA PETROVIC, MARIJA

2500 BISSELL AVE,

RICHMOND, CA 94804

Psychiatrist

CA License Number 127707

Other Languages GERMAN

National Provider ID 1013081835

Accepting New Patients Yes. Referral may be required.

(510) 231-3964

Certification Number

MARIJA PETROVIC -PRIVATE PRACTICE-

CONTRA COSTA PETTERSSON-ROSENBUSH, KRISTINE

3490 BUSKIRK AVE, STE A

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number 39721

Other Languages

National Provider ID 1861894909

Accepting New Patients Yes. Referral may be required.

(925) 787-3834

Certification Number

KRISTINE PETTERSSON-ROSENBUSH -PRIV

CONTRA COSTA PFIRRMANN, GEORGE

919 VILLAGE CTR, STE 2

LAFAYETTE, CA 94549

Licensed Clinical Social Worker

CA License Number LCS00011402

Other Languages

National Provider ID 1356368906

Accepting New Patients Yes. Referral may be required.

(925) 283-8362

Certification Number

GEORGE PFIRRMANN -PRIVATE PRACTICE-

CONTRA COSTA PHILLIPS, BARBARA

2001 SALVIO ST, STE 1

CONCORD, CA 94520

Psychologist

CA License Number PSY7054

Other Languages

National Provider ID 1629107974

Accepting New Patients Yes. Referral may be required.

(925) 685-7955

Certification Number

BARBARA E PHILLIPS PHD

Page 92 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA PIERCE, LODUSKIA

2926 LONE TREE WAY

ANTIOCH, CA 94509

Marriage and Family Therapist

CA License Number MFC27430

Other Languages

National Provider ID 1710025291

Accepting New Patients Yes. Referral may be required.

(510) 524-9811

Certification Number

LODUSKIA PIERCE -PRIVATE PRACTICE-

CONTRA COSTA PIERCE, LODUSKIA

2926 LONE TREE WAY,

ANTIOCH, CA 94509

Marriage and Family Therapist

CA License Number MFT27430

Other Languages

National Provider ID 1710025291

Accepting New Patients Yes. Referral may be required.

(925) 695-3127

Certification Number

LODUSKIA PIERCE -PRIVATE PRACTICE-

CONTRA COSTA POLLARD, MONIQUE

33 QUAIL CT, STE 101

WALNUT CREEK, CA 94596

Psychologist

CA License Number PSY16734

Other Languages

National Provider ID 1831312701

Accepting New Patients Yes. Referral may be required.

(925) 964-0438

Certification Number

MONIQUE POLLARD

CONTRA COSTA POLNER, PORTIA

2255 MORELLO AVE, STE 119

PLEASANT HILL, CA 94523

Psychologist

CA License Number PSY11003

Other Languages

National Provider ID 1346351608

Accepting New Patients Yes. Referral may be required.

(925) 798-5323

Certification Number

PORTIA POLNER -PRIVATE PRACTICE-

CONTRA COSTA PORTANIER, VICTORIA

1485 CIVIC CT, STE 1339

CONCORD, CA 94520

Marriage and Family Therapist

CA License Number 45105

Other Languages

National Provider ID 1356509053

Accepting New Patients Yes. Referral may be required.

(925) 864-3179

Certification Number

VICTORIA PORTANIER -PRIVATE PRACTICE-

CONTRA COSTA RAJENDREN, MEENA

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number A118131

Other Languages

National Provider ID 1790927572

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

MEENA RAJENDREN -PRIVATE PRACTICE-

Page 93 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA RANLETT MOCK, KATHLEEN

231 CAMBRIDGE AVE,

KENSINGTON, CA 94708

Marriage and Family Therapist

CA License Number LMFT15482

Other Languages

National Provider ID 1447284617

Accepting New Patients Yes. Referral may be required.

(510) 527-8801

Certification Number

KATHLEEN RANLETT MOCK -PRIVATE PRAC

CONTRA COSTA RAO, DEEPAK

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number A93186

Other Languages

National Provider ID 1215090808

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

DEEPAK RAO -PRIVATE PRACTICE-

CONTRA COSTA RITVO, DAVID

1910 OLYMPIC BLVD, STE 230

WALNUT CREEK, CA 94596

Psychiatrist

CA License Number G00030097

Other Languages

National Provider ID 1205832094

Accepting New Patients Yes. Referral may be required.

(925) 944-1002

Certification Number

DAVID RITVO -PRIVATE PRACTICE-

CONTRA COSTA RITZER, DORA

3616 MACDONALD AVE

RICHMOND, CA 94805

Marriage and Family Therapist

CA License Number MFT96495

Other Languages

National Provider ID 1841507761

Accepting New Patients Yes. Referral may be required.

(510) 779-2499

Certification Number

DORA RITZER -PRIVATE PRACTICE-

CONTRA COSTA ROHRER, JUDITH

4180 TREAT BLVD, STE T

CONCORD, CA 94518

Marriage and Family Therapist

CA License Number MFC28693

Other Languages

National Provider ID 1013080217

Accepting New Patients Yes. Referral may be required.

(925) 746-4454

Certification Number

JUDITH ROHRER -PRIVATE PRACTICE-

CONTRA COSTA ROHRER, PHILIP

4180 TREAT BLVD, STE T

CONCORD, CA 94518

Marriage and Family Therapist

CA License Number MFC00032788

Other Languages

National Provider ID 1205844412

Accepting New Patients Yes. Referral may be required.

(925) 686-2328

Certification Number

PHILIP ROHRER -PRIVATE PRACTICE-

Page 94 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA ROSS, STEVEN

2551 SAN RAMON VALLEY BLV, STE 250

SAN RAMON, CA 94583

Psychologist

CA License Number PSY11612

Other Languages

National Provider ID 1417014549

Accepting New Patients Yes. Referral may be required.

(925) 866-3663

Certification Number

STEVEN ROSS -PRIVATE PRACTICE-

CONTRA COSTA RUBENSTEIN, MICHELE

199 E LINDA MESA AVE, STE 2

DANVILLE, CA 94526

Licensed Clinical Social Worker

CA License Number LCS15597

Other Languages

National Provider ID 1174636583

Accepting New Patients Yes. Referral may be required.

(925) 413-2977

Certification Number

MICHELE RUBENSTEIN -PRIVATE PRACTICE

CONTRA COSTA RUDNICK, CRAIG

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number A102459

Other Languages

National Provider ID 1184831661

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

CRAIG RUDNICK -PRIVATE PRACTICE-

CONTRA COSTA RUSBY, MARSHA

140 MAYHEW WAY, STE 606

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number MFC39234

Other Languages

National Provider ID 1205991767

Accepting New Patients Yes. Referral may be required.

(925) 932-0150

Certification Number

MARSHA M RUSBY LMFT

CONTRA COSTA RUSSELL, ADRIANA

2910 CAMINO DIABLO, STE 200

WALNUT CREEK, CA 94597

Marriage and Family Therapist

CA License Number 32978

Other Languages SPANISH

National Provider ID 1447268875

Accepting New Patients Yes. Referral may be required.

(925) 408-2805

Certification Number

ADRIANA RUSSELL -PRIVATE PRACTICE-

CONTRA COSTA RUZICANO, RAYMOND

112 LA CASA VIA, STE 345

WALNUT CREEK, CA 94598

Psychiatrist

CA License Number G00033140

Other Languages

National Provider ID 1811062508

Accepting New Patients Yes. Referral may be required.

(925) 943-1400

Certification Number

RAYMOND RUZICANO MD INC

Page 95 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA SAGRAMOSO, KARLA

399 TAYLOR BLVD, STE 210

PLEASANT HILL, CA 94523

Psychologist

CA License Number 14104

Other Languages

National Provider ID 1649213307

Accepting New Patients Yes. Referral may be required.

(510) 459-6893

Certification Number

KARLA SAGRAMOSO -PRIVATE PRACTICE-

CONTRA COSTA SAKS, BRIAN

399 TAYLOR BLVD, STE 210

PLEASANT HILL, CA 94523

Psychologist

CA License Number 24835

Other Languages

National Provider ID 1245597061

Accepting New Patients Yes. Referral may be required.

(415) 418-7257

Certification Number

BRIAN SAKS -PRIVATE PRACTICE-

CONTRA COSTA SALAIS, A JOSEPH

3000 CITRUS CIR, STE 200

WALNUT CREEK, CA 94598

Psychologist

CA License Number PSY12750

Other Languages

National Provider ID 1700889466

Accepting New Patients Yes. Referral may be required.

(925) 945-6774

Certification Number

A JOSEPH SALAIS -PRIVATE PRACTICE-

CONTRA COSTA SALINAS, LORI

535 MAIN ST, #207

MARTINEZ, CA 94553

Marriage and Family Therapist

CA License Number 45459

Other Languages

National Provider ID 1770608317

Accepting New Patients Yes. Referral may be required.

(925) 370-6544

Certification Number

LORI SALINAS -PRIVATE PRACTICE-

CONTRA COSTA SATTLER, HOWARD

15 ALTARINDA RD, STE 203

ORINDA, CA 94563

Marriage and Family Therapist

CA License Number 30198

Other Languages SPANISH

National Provider ID 1578563268

Accepting New Patients Yes. Referral may be required.

(925) 215-5646

Certification Number

HOWARD SATTLER -PRIVATE PRACTICE-

CONTRA COSTA SCHRATTER, SONJA

3000 CITRUS CIR, STE 112

WALNUT CREEK, CA 94598

Licensed Clinical Social Worker

CA License Number LCS3221

Other Languages

National Provider ID 1568514305

Accepting New Patients Yes. Referral may be required.

(925) 210-1414

Certification Number

SONJA SCHRATTER -PRIVATE PRACTICE-

Page 96 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA SCHWARTZ, JOAN

37 QUAIL CT, STE 201

WALNUT CREEK, CA 94596

Psychologist

CA License Number PSY6081

Other Languages

National Provider ID 1083649479

Accepting New Patients Yes. Referral may be required.

(510) 486-2720

Certification Number

JOAN SCHWARTZ -PRIVATE PRACTICE-

CONTRA COSTA SCOTT, BEVERLY

3143 CLAYTON RD, STE B

CONCORD, CA 94519

Marriage and Family Therapist

CA License Number 15622LMFC

Other Languages SPANISH

National Provider ID 1275665465

Accepting New Patients Yes. Referral may be required.

(925) 680-1717

Certification Number

BEVERLY SCOTT -PRIVATE PRACTICE-

CONTRA COSTA SEID, ERIKA

3330 CLAYTON RD, STE E

CONCORD, CA 94519

Marriage and Family Therapist

CA License Number MFC43914

Other Languages SPANISH FRENCH TAGALOG

National Provider ID 1376663898

Accepting New Patients Yes. Referral may be required.

(415) 675-4878

Certification Number

ERIKA SEID -PRIVATE PRACTICE-

CONTRA COSTA SHAFER, BARBARA

1734 ALHAMBRA AVE,

MARTINEZ, CA 94553

Marriage and Family Therapist

CA License Number 33217

Other Languages

National Provider ID 1235280611

Accepting New Patients Yes. Referral may be required.

(925) 988-8871

Certification Number

BARBARA SHAFER -PRIVATE PRACTICE-

CONTRA COSTA SHAIN, PHILIP

2630 SALVIO ST,

CONCORD, CA 94519

Psychiatrist

CA License Number G50329

Other Languages

National Provider ID 1215954722

Accepting New Patients Yes. Referral may be required.

(925) 676-8260

Certification Number

PHILIP SHAIN -PRIVATE PRACTICE-

CONTRA COSTA SHARMA, SIDHARTH

2305 CAMINO RAMON, STE 221

SAN RAMON, CA 94583

Psychiatrist

CA License Number A128643

Other Languages

National Provider ID 1396069050

Accepting New Patients Yes. Referral may be required.

(888) 276-6772

Certification Number

SIDHARTH SHARMA -PRIVATE PRACTICE-

Page 97 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA SHELTON, STEVEN

1134 ALHAMBRA AVE,

MARTINEZ, CA 94553

Psychologist

CA License Number PSY12444

Other Languages

National Provider ID 1821148925

Accepting New Patients Yes. Referral may be required.

(925) 372-6630

Certification Number

STEVEN SHELTON -PRIVATE PRACTICE-

CONTRA COSTA SHEPARD, GILBERT

2940 CAMINO DIABLO, STE 300

WALNUT CREEK, CA 94597

Marriage and Family Therapist

CA License Number MFC8846

Other Languages

National Provider ID 1881752210

Accepting New Patients Yes. Referral may be required.

(925) 937-3337

Certification Number

GILBERT SHEPARD -PRIVATE PRACTICE-

CONTRA COSTA SHORENSTEIN, ANNA

39 QUAIL CT, STE 205

WALNUT CREEK, CA 94596

Psychologist

CA License Number 22405

Other Languages

National Provider ID 1821155474

Accepting New Patients Yes. Referral may be required.

(925) 271-8040

Certification Number

ANNA SHORENSTEIN -PRIVATE PRACTICE-

CONTRA COSTA SHUER, MERY

81 GREGORY LN, STE 305

PLEASANT HILL, CA 94523

Licensed Clinical Social Worker

CA License Number LCS9943

Other Languages

National Provider ID 1831136282

Accepting New Patients Yes. Referral may be required.

(925) 228-3544

Certification Number

MERY SHUER -PRIVATE PRACTICE-

CONTRA COSTA SIMMONS-SLATER, LISA

191 SAND CREEK RD, STE 202C

BRENTWOOD, CA 94513

Marriage and Family Therapist

CA License Number MFC36871

Other Languages

National Provider ID 1356675615

Accepting New Patients Yes. Referral may be required.

(925) 395-1303

Certification Number

LISA SIMMONS-SLATER -PRIVATE PRACTICE

CONTRA COSTA SIMMONS-SLATER, LISA

1484 CIVIC CT,

CONCORD, CA 94520

Marriage and Family Therapist

CA License Number MFC36871

Other Languages

National Provider ID 1356675615

Accepting New Patients Yes. Referral may be required.

(925) 395-1303

Certification Number

LISA SIMMONS-SLATER -PRIVATE PRACTICE

Page 98 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA SINGH, KULWINDER

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number A70440

Other Languages

National Provider ID 1306872460

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

KULWINDER SINGH -PRIVATE PRACTICE-

CONTRA COSTA SINGH, SIMRITA

1855 OLYMPIC BLVD, STE 250

WALNUT CREEK, CA 94596

Psychiatrist

CA License Number A105696

Other Languages

National Provider ID 1598739575

Accepting New Patients Yes. Referral may be required.

(925) 299-9033

Certification Number

SIMRITA SINGH -PRIVATE PRACTICE-

CONTRA COSTA SMART, KARL

1450 TREAT BLVD, STE 200

WALNUT CREEK, CA 94597

Professional Clinical Counselor

CA License Number NP17645

Other Languages SPANISH

National Provider ID 1124295332

Accepting New Patients Yes. Referral may be required.

(510) 428-3000

Certification Number

KARL SMART -PRIVATE PRACTICE-

CONTRA COSTA SMITH, ALLISON

2225 BUCHANAN RD, STE C

ANTIOCH, CA 94509

Marriage and Family Therapist

CA License Number LMFT41641

Other Languages

National Provider ID 1750446993

Accepting New Patients Yes. Referral may be required.

(510) 684-9663

Certification Number

ALLISON SMITH -PRIVATE PRACTICE-

CONTRA COSTA SMITH, ALLISON

2926 LONE TREE WAY,

ANTIOCH, CA 94509

Marriage and Family Therapist

CA License Number LMFT41641

Other Languages

National Provider ID 1750446993

Accepting New Patients Yes. Referral may be required.

(510) 684-9663

Certification Number

ALLISON SMITH -PRIVATE PRACTICE-

CONTRA COSTA SMITH, ALLISON

2910 CAMINO DIABLO, STE 200

WALNUT CREEK, CA 94597

Marriage and Family Therapist

CA License Number LMFT41641

Other Languages

National Provider ID 1750446993

Accepting New Patients Yes. Referral may be required.

(510) 684-9663

Certification Number

ALLISON SMITH -PRIVATE PRACTICE-

Page 99 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA SMITH, BARBARA

909 ESTRELLA CT,

CONCORD, CA 94518

Marriage and Family Therapist

CA License Number MFT42853

Other Languages

National Provider ID 1982856738

Accepting New Patients Yes. Referral may be required.

(510) 205-5450

Certification Number

BARBARA SMITH -PRIVATE PRACTICE-

CONTRA COSTA SOLOMON, ALLAN

1200 MT DIABLO BLVD, STE 406

WALNUT CREEK, CA 94596

Psychologist

CA License Number PSY6304

Other Languages

National Provider ID 1417931692

Accepting New Patients Yes. Referral may be required.

(925) 943-6572

Certification Number

ALLAN SOLOMON -PRIVATE PRACTICE-

CONTRA COSTA SOUZA, ELEANOR

909 ESTRELLA CT,

CONCORD, CA 94518

Marriage and Family Therapist

CA License Number 39228

Other Languages

National Provider ID 1316287501

Accepting New Patients Yes. Referral may be required.

(925) 890-7352

Certification Number

ELEANOR SOUZA -PRIVATE PRACTICE-

CONTRA COSTA SOUZA, ELEANOR

2225 BUCHANAN RD,

ANTIOCH, CA 94509

Marriage and Family Therapist

CA License Number 39228

Other Languages

National Provider ID 1316287501

Accepting New Patients Yes. Referral may be required.

(925) 890-7352

Certification Number

ELEANOR SOUZA -PRIVATE PRACTICE-

CONTRA COSTA SOUZA, ELEANOR

2910 CAMINO DIABLO, STE 200

WALNUT CREEK, CA 94597

Marriage and Family Therapist

CA License Number 39228

Other Languages

National Provider ID 1316287501

Accepting New Patients Yes. Referral may be required.

(975) 890-7352

Certification Number

ELEANOR SOUZA -PRIVATE PRACTICE-

CONTRA COSTA SUFFIN, CAROLE

2940 CAMINO DIABLO, STE 300

WALNUT CREEK, CA 94597

Marriage and Family Therapist

CA License Number MFC21913

Other Languages

National Provider ID 1578631958

Accepting New Patients Yes. Referral may be required.

(925) 687-7174

Certification Number

CAROLE SUFFIN

Page 100 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA SUFFIN, CAROLE

1866 CLAYTON RD, STE 103

CONCORD, CA 94520

Marriage and Family Therapist

CA License Number MFC21913

Other Languages

National Provider ID 1578631958

Accepting New Patients Yes. Referral may be required.

(925) 687-7174

Certification Number

CAROLE SUFFIN

CONTRA COSTA TAYLOR, CATHERINE

1148 ALPINE RD, STE 207

WALNUT CREEK, CA 94596

Licensed Clinical Social Worker

CA License Number 43575

Other Languages SPANISH

National Provider ID 1891859823

Accepting New Patients Yes. Referral may be required.

(925) 963-2792

Certification Number

CATHERINE TAYLOR -PRIVATE PRACTICE-

CONTRA COSTA THRELKEL, MARY

3468 MT DIABLO BLVD, STE B201

LAFAYETTE, CA 94549

Marriage and Family Therapist

CA License Number 40648

Other Languages

National Provider ID 1881610772

Accepting New Patients Yes. Referral may be required.

(925) 786-6227

Certification Number

MARY THRELKEL MFT

CONTRA COSTA TREMAINE, LESLIE

399 TAYLOR BLVD, STE 209 BLDG I

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number MFT14363

Other Languages

National Provider ID 1760404644

Accepting New Patients Yes. Referral may be required.

(925) 977-9633

Certification Number

LESLIE TREMAINE -PRIVATE PRACTICE-

CONTRA COSTA TSAI, SHUFANG

518 EL CERRITO PLZ,

EL CERRITO, CA 94530

Psychologist

CA License Number PSY22692

Other Languages MANDARIN

National Provider ID 1629276332

Accepting New Patients Yes. Referral may be required.

(510) 684-5797

Certification Number

SHUFANG TSAI -PRIVATE PRACTICE-

CONTRA COSTA VANDENBERG, DENAI

3704 MT DIABLO BLVD, STE 203

LAFAYETTE, CA 94549

Marriage and Family Therapist

CA License Number 52679

Other Languages

National Provider ID 1578695185

Accepting New Patients Yes. Referral may be required.

(925) 788-8459

Certification Number

DENAI VANDENBERG -PRIVATE PRACTICE-

Page 101 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA VENKATACHALAM, SUKANYA

1855 OLYMPIC BLVD, STE 250

WALNUT CREEK, CA 94596

Psychiatrist

CA License Number A112695

Other Languages

National Provider ID 1083878078

Accepting New Patients Yes. Referral may be required.

(925) 299-9033

Certification Number

SUKANYA VENKATACHALAM -PRIVATE PRA

CONTRA COSTA VIESTI, CARL

3432 HILLCREST AVE, STE 175

ANTIOCH, CA 94531

Psychologist

CA License Number PSY6785

Other Languages

National Provider ID 1467494104

Accepting New Patients Yes. Referral may be required.

(925) 756-1334

Certification Number

CARL VIESTI -PRIVATE PRACTICE-

CONTRA COSTA VOLPE-JOHNSTONE, THERESA

18 CROW CANYON CT, STE 225

SAN RAMON, CA 94583

Psychologist

CA License Number 17748

Other Languages AMERICAN SIGN LANGUAGE

National Provider ID 1588916191

Accepting New Patients Yes. Referral may be required.

(925) 484-0074

Certification Number

THERESA VOLPE-JOHNSTONE -PRIVATE PR

CONTRA COSTA WALTERS-KNIGHT, CATHIA

419 KEARNEY ST,

EL CERRITO, CA 94530

Psychologist

CA License Number PSY20242

Other Languages

National Provider ID 1144382920

Accepting New Patients Yes. Referral may be required.

(510) 499-4054

Certification Number

CATHIA WALTERS-KNIGHT -PRIVATE PRACT

CONTRA COSTA WEIL, JANE

38 QUAIL CT, STE 200

WALNUT CREEK, CA 94596

Licensed Clinical Social Worker

CA License Number LCS00007720

Other Languages

National Provider ID 1427125038

Accepting New Patients Yes. Referral may be required.

(510) 653-4963

Certification Number

JANE WEIL -PRIVATE PRACTICE-

CONTRA COSTA WEINTROB, STEVEN

1080 CAROL LN, STE 280

LAFAYETTE, CA 94549

Psychologist

CA License Number PSY9620

Other Languages

National Provider ID 1285787069

Accepting New Patients Yes. Referral may be required.

(925) 283-1939

Certification Number

STEVEN WEINTROB -PRIVATE PRACTICE-

Page 102 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA WIDROE, HARVEY

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number G4880

Other Languages

National Provider ID 1003977851

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

HARVEY WIDROE -PRIVATE PRACTICE-

CONTRA COSTA WILLIAMS, RHONDA

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number A100069

Other Languages

National Provider ID 1295991750

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

RHONDA WILLIAMS -PRIVATE PRACTICE-

CONTRA COSTA WILSON, MISTY

140 MAYHEW WAY, STE 1000

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number LMFT43122

Other Languages

National Provider ID 1285988840

Accepting New Patients Yes. Referral may be required.

(707) 373-6260

Certification Number

MISTY WILSON -PRIVATE PRACTICE-

CONTRA COSTA WILSON, PATRICIA

2225 BUCHANAN RD, STE C

ANTIOCH, CA 94509

Marriage and Family Therapist

CA License Number MFC45629

Other Languages

National Provider ID 1902935042

Accepting New Patients Yes. Referral may be required.

(925) 759-0649

Certification Number

PATRICIA WILSON MA LMFT

CONTRA COSTA WILSON, PATRICIA

50 SAND CREEK RD, STE 320

BRENTWOOD, CA 94513

Marriage and Family Therapist

CA License Number MFC45629

Other Languages

National Provider ID 1902935042

Accepting New Patients Yes. Referral may be required.

(925) 759-0649

Certification Number

PATRICIA WILSON -PRIVATE PRACTICE-

CONTRA COSTA WITTENBERG, LAURA

3704 MT DIABLO BLVD, STE 203

LAFAYETTE, CA 94549

Marriage and Family Therapist

CA License Number MFT47508

Other Languages

National Provider ID 1326318551

Accepting New Patients Yes. Referral may be required.

(925) 788-0901

Certification Number

LAURA WITTENBERG -PRIVATE PRACTICE-

Page 103 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA WOLFE, JIM

2930 CAMINO DIABLO, STE 200

WALNUT CREEK, CA 94597

Marriage and Family Therapist

CA License Number MFC32199

Other Languages

National Provider ID 1023198413

Accepting New Patients Yes. Referral may be required.

(925) 323-4113

Certification Number

JIM WOLFE -PRIVATE PRACTICE-

CONTRA COSTA WOLLESON, CAROL

199 E LINDA MESA AVE, STE 2

DANVILLE, CA 94526

Marriage and Family Therapist

CA License Number MFC21992

Other Languages

National Provider ID 1124052196

Accepting New Patients Yes. Referral may be required.

(510) 658-6655

Certification Number

CAROL WOLLESON -PRIVATE PRACTICE-

CONTRA COSTA WOOD, CAROL

81 GREGORY LN, STE 210

PLEASANT HILL, CA 94523

Marriage and Family Therapist

CA License Number 35228

Other Languages

National Provider ID 1073894440

Accepting New Patients Yes. Referral may be required.

(925) 785-8402

Certification Number

CAROL WOOD -PRIVATE PRACTICE-

CONTRA COSTA WRIGHT, STEPHEN

3184 OLD TUNNEL RD, STE G

LAFAYETTE, CA 94549

Marriage and Family Therapist

CA License Number 13762

Other Languages

National Provider ID 1447280292

Accepting New Patients Yes. Referral may be required.

(925) 284-8280

Certification Number

STEPHEN WRIGHT -PRIVATE PRACTICE-

CONTRA COSTA WYBORNY, GRANT

145 E PROSPECT AVE, STE 215

DANVILLE, CA 94526

Psychologist

CA License Number 6848

Other Languages

National Provider ID 1811074479

Accepting New Patients Yes. Referral may be required.

(925) 837-1889

Certification Number

GRANT WYBORNY PHD

CONTRA COSTA WYCOFF-MONTENEGRO, MELISSA

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number A94312

Other Languages SPANISH

National Provider ID 1396826525

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

MELISSA WYCOFF-MONTENEGRO -PRIVATE

Page 104 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

CONTRA COSTA WYSOPAL, MICHELLE

419 KEARNEY ST, BOX 1

EL CERRITO, CA 94530

Psychologist

CA License Number 28447

Other Languages SPANISH POLISH

National Provider ID 1720375975

Accepting New Patients Yes. Referral may be required.

(888) 524-5122

Certification Number

MICHELLE WYSOPAL -PRIVATE PRACTICE-

CONTRA COSTA ZUBERI, MANSOOR

3100 OAK RD, STE 270

WALNUT CREEK, CA 94597

Psychiatrist

CA License Number A72551

Other Languages HINDI

National Provider ID 1972666568

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

MANSOOR ZUBERI -PRIVATE PRACTICE-

CONTRA COSTA ZUBERI, MARIA

3100 OAK RD

WALNUT CREEK, CA 94597

Marriage and Family Therapist

CA License Number MFC96142

Other Languages HINDI

National Provider ID 1134670342

Accepting New Patients Yes. Referral may be required.

(925) 944-9711

Certification Number

MARIA ZUBERI -PRIVATE PRACTICE-

EL DORADO AHLERS, PATRIZIA

4535 MISSOURI FLAT RD, STE 200G

PLACERVILLE, CA 95667

Marriage and Family Therapist

CA License Number MFT88809

Other Languages GERMAN

National Provider ID 1881831857

Accepting New Patients Yes. Referral may be required.

(530) 620-7129

Certification Number

PATRIZIA AHLERS -PRIVATE PRACTICE-

EL DORADO BERMUDES, RICHARD

1020 SUNCAST LN, STE 108

EL DORADO HILLS, CA 95762

Psychiatrist

CA License Number A85302

Other Languages

National Provider ID 1518940774

Accepting New Patients Yes. Referral may be required.

(916) 932-0380

Certification Number

RICHARD BERMUDES -PRIVATE PRACTICE-

EL DORADO BONILLA JACOME, CAROLINA

1020 SUNCAST LN, STE 108

EL DORADO HILLS, CA 95762

Psychiatrist

CA License Number 104077

Other Languages SPANISH

National Provider ID 1619169984

Accepting New Patients Yes. Referral may be required.

(916) 932-0380

Certification Number

CAROLINA BONILLA JACOME -PRIVATE PRA

Page 105 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

EL DORADO BRADLEY, DEE-ANNA

319 MAIN ST, STE 8

PLACERVILLE, CA 95667

Marriage and Family Therapist

CA License Number 879

Other Languages

National Provider ID 1134428238

Accepting New Patients Yes. Referral may be required.

(530) 391-9976

Certification Number

DEE-ANNA BRADLEY -PRIVATE PRACTICE-

EL DORADO BRANTON, SANDRA

870 EMERALD BAY RD, STE 305

SOUTH LAKE TAHOE, CA 96150

Psychologist

CA License Number PSY11992

Other Languages

National Provider ID 1063524312

Accepting New Patients Yes. Referral may be required.

(530) 541-5977

Certification Number

SANDRA BRANTON -PRIVATE PRACTICE-

EL DORADO BROWN, TERRENCE

4580 VALLEY VISTA RD,

CAMERON PARK, CA 95682

Psychologist

CA License Number PSY7113

Other Languages

National Provider ID 1669648259

Accepting New Patients Yes. Referral may be required.

(916) 364-0440

Certification Number

TERRENCE BROWN -PRIVATE PRACTICE-

EL DORADO BRUHN HARNEY, NANNETTE

504 MAIN ST,

DIAMOND SPRINGS, CA 95619

Marriage and Family Therapist

CA License Number LMFT44206

Other Languages

National Provider ID 1174653547

Accepting New Patients Yes. Referral may be required.

(530) 903-6989

Certification Number

NANNETTE BRUHN HARNEY -PRIVATE PRAC

EL DORADO GALLAGHER, MELISSA

680 PLACERVILLE DR, STE A2

PLACERVILLE, CA 95667

Marriage and Family Therapist

CA License Number MFT86919

Other Languages

National Provider ID 1013329671

Accepting New Patients Yes. Referral may be required.

(916) 266-1418

Certification Number

MELISSA GALLAGHER -PRIVATE PRACTICE-

EL DORADO GALLAGHER, MELISSA

3294 ROYAL DR,

CAMERON PARK, CA 95682

Marriage and Family Therapist

CA License Number MFT86919

Other Languages

National Provider ID 1013329671

Accepting New Patients Yes. Referral may be required.

(916) 266-1418

Certification Number

MELISSA GALLAGHER -PRIVATE PRACTICE-

Page 106 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

EL DORADO GAREWAL, JAGDEEP

1090 3RD ST,

SOUTH LAKE TAHOE, CA 96150

Psychiatrist

CA License Number A64095

Other Languages URDU SPANISH HINDI

National Provider ID 1427190487

Accepting New Patients Yes. Referral may be required.

(530) 543-5660

Certification Number

JAGDEEP GAREWAL -PRIVATE PRACTICE-

EL DORADO GAREWAL, JAGDEEP

1090 3RD ST, STE 1

SOUTH LAKE TAHOE, CA 96150

Psychiatrist

CA License Number A64095

Other Languages URDU SPANISH HINDI

National Provider ID 1427190487

Accepting New Patients Yes. Referral may be required.

(661) 319-3698

Certification Number

JAGDEEP GAREWAL -PRIVATE PRACTICE-

EL DORADO GEERTSMA, ROBERT

1160 SUNCAST LN, STE 9

EL DORADO HILLS, CA 95762

Psychologist

CA License Number 12551

Other Languages

National Provider ID 1033152483

Accepting New Patients Yes. Referral may be required.

(916) 941-7514

Certification Number

ROBERT GEERTSMA -PRIVATE PRACTICE-

EL DORADO GRAF, JOY

4120 CAMERON PARK DR, STE 403

CAMERON PARK, CA 95682

Marriage and Family Therapist

CA License Number MFC35527

Other Languages

National Provider ID 1841390911

Accepting New Patients Yes. Referral may be required.

(530) 391-1658

Certification Number

JOY GRAF MFT

EL DORADO HALL, HEATHER

1020 SUNCAST LN, STE 108

EL DORADO HILLS, CA 95762

Psychiatrist

CA License Number G86039

Other Languages

National Provider ID 1407886989

Accepting New Patients Yes. Referral may be required.

(916) 932-0380

Certification Number

TMS HEALTH SOLUTIONS

EL DORADO KOLBERG, PATRICIA

550 MAIN ST, STE 1D

DIAMOND SPRINGS, CA 95619

Marriage and Family Therapist

CA License Number 33032

Other Languages

National Provider ID 1114091683

Accepting New Patients Yes. Referral may be required.

(530) 647-2684

Certification Number

PATRICIA KOLBERG -PRIVATE PRACTICE-

Page 107 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

EL DORADO LANOCHA, KARL

1020 SUNCAST LN, STE 108

EL DORADO HILLS, CA 95762

Psychiatrist

CA License Number C56068

Other Languages

National Provider ID 1992742365

Accepting New Patients Yes. Referral may be required.

(916) 932-0380

Certification Number

KARL LANOCHA -PRIVATE PRACTICE-

EL DORADO LIDDELL, ALYSIA

5170 GOLDEN FOOTHILL PKWY,

EL DORADO HILLS, CA 95762

Psychologist

CA License Number PSY19996

Other Languages

National Provider ID 1497985410

Accepting New Patients Yes. Referral may be required.

(916) 235-8235

Certification Number

ALYSIA LIDDELL -PRIVATE PRACTICE-

EL DORADO MATTOX, CHERYL

5170 GOLDEN FOOTHILL PKWY

EL DORADO HILLS, CA 95762

Marriage and Family Therapist

CA License Number LMFT43985

Other Languages SPANISH

National Provider ID 1992873459

Accepting New Patients Yes. Referral may be required.

(916) 833-3007

Certification Number

CHERYL MATTOX -PRIVATE PRACTICE-

EL DORADO MILNER, ROBIN

504 MAIN ST,

DIAMOND SPRINGS, CA 95619

Licensed Clinical Social Worker

CA License Number LCS6063

Other Languages

National Provider ID 1184642076

Accepting New Patients Yes. Referral may be required.

(530) 350-0453

Certification Number

ROBIN MILNER -PRIVATE PRACTICE-

EL DORADO NIETO, FRANK

3294 ROYAL DR, STE 13

CAMERON PARK, CA 95682

Licensed Clinical Social Worker

CA License Number LCS00006919

Other Languages SPANISH FRENCH

National Provider ID 1144439746

Accepting New Patients Yes. Referral may be required.

(916) 933-1407

Certification Number

CAMERON PARK COUNSELING CENTER

EL DORADO NIETO, ROSE-MARIE

3294 ROYAL DR, STE 13

CAMERON PARK, CA 95682

Licensed Clinical Social Worker

CA License Number LCS00010219

Other Languages ASSAMESE FRENCH SPANISH

National Provider ID 1366671257

Accepting New Patients Yes. Referral may be required.

(916) 933-1407

Certification Number

CAMERON PARK COUNSELING CENTER

Page 108 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

EL DORADO NUNGARY, VIOLA

2489 HIGHTWAY 50, SUITE 26

SOUTH LAKE TAHOE, CA 96151

Marriage and Family Therapist

CA License Number 31975

Other Languages

National Provider ID 1275607665

Accepting New Patients Yes. Referral may be required.

(530) 542-0800

Certification Number

VIOLA NUNGARY MFT

EL DORADO POFF, PAMELA

5170 GOLDEN FOOTHILL PARK,

EL DORADO HILLS, CA 95762

Psychologist

CA License Number PSY19224

Other Languages CHINESE

National Provider ID 1851487631

Accepting New Patients Yes. Referral may be required.

(916) 790-4243

Certification Number

PAMELA POFF -PRIVATE PRACTICE-

EL DORADO PROTELL, TRACY

2201 SOUTH AVE, STE B

SOUTH LAKE TAHOE, CA 96150

Psychiatrist

CA License Number A122555

Other Languages SPANISH

National Provider ID 1629275235

Accepting New Patients Yes. Referral may be required.

(530) 543-5623

Certification Number

BARTON HEALTHCARE SYSTEM

EL DORADO PROTELL, TRACY

1090 3RD ST, STE 1

SOUTH LAKE TAHOE, CA 96150

Psychiatrist

CA License Number A122555

Other Languages SPANISH

National Provider ID 1629275235

Accepting New Patients Yes. Referral may be required.

(530) 543-5660

Certification Number

TRACY PROTELL -PRIVATE PRACTICE-

EL DORADO REYNOLDS, WILLIAM

3294 ROYAL DR, STE 13

CAMERON PARK, CA 95682

Psychologist

CA License Number PSY26015

Other Languages

National Provider ID 1154782167

Accepting New Patients Yes. Referral may be required.

(530) 677-4404

Certification Number

WILLIAM REYNOLDS -PRIVATE PRACTICE-

EL DORADO SHIN, ANNE

5170 GOLDEN FOOTHILL PKWY,

EL DORADO HILLS, CA 95762

Psychiatrist

CA License Number G79032

Other Languages

National Provider ID 1316299712

Accepting New Patients Yes. Referral may be required.

(888) 276-6772

Certification Number

ANNE SHIN -PRIVATE PRACTICE-

Page 109 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

EL DORADO SINGH, KULWANT

5000 WINDPLAY DR, STE 4

EL DORADO HILLS, CA 95762

Psychiatrist

CA License Number A105095

Other Languages HINDI PANJABI URDU

National Provider ID 1811221674

Accepting New Patients Yes. Referral may be required.

(916) 984-6111

Certification Number

KULWANT SINGH -PRIVATE PRACTICE-

EL DORADO TRIMMER, ROBERT

1020 SUNCAST LN, STE 108

EL DORADO HILLS, CA 95762

Psychiatrist

CA License Number A83471

Other Languages

National Provider ID 1003925736

Accepting New Patients Yes. Referral may be required.

(916) 932-0380

Certification Number

TMS HEALTH SOLUTIONS

EL DORADO WEYL, TERRY

941 SPRING ST, STE 5

PLACERVILLE, CA 95667

Psychologist

CA License Number PSY6138

Other Languages

National Provider ID 1376702415

Accepting New Patients Yes. Referral may be required.

(530) 341-8772

Certification Number

TERRY WEYL -PRIVATE PRACTICE-

FRESNO ADAPA, INDIRA

7341 N 1ST ST, STE 110

FRESNO, CA 93720

Psychiatrist

CA License Number A86927

Other Languages HINDI

National Provider ID 1588776918

Accepting New Patients Yes. Referral may be required.

(559) 860-9314

Certification Number

INDIRA ADAPA -PRIVATE PRACTICE-

FRESNO ADAPA, INDIRA

1060 W SIERRA AVE, STE 104

FRESNO, CA 93711

Psychiatrist

CA License Number A86927

Other Languages HINDI

National Provider ID 1588776918

Accepting New Patients Yes. Referral may be required.

(559) 437-1111

Certification Number

INDIRA ADAPA -PRIVATE PRACTICE-

FRESNO AGUINIGA, DELORES

3128 WILLOW AVE, STE 102

CLOVIS, CA 93612

Licensed Clinical Social Worker

CA License Number 10307

Other Languages SPANISH

National Provider ID 1386796449

Accepting New Patients Yes. Referral may be required.

(559) 559-5542

Certification Number

DELORES AGUINIGA -PRIVATE PRACTICE-

Page 110 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO ALIMASUYA, JOSEPH

6777 N WILLOW AVE,

FRESNO, CA 93710

Psychiatrist

CA License Number A85633

Other Languages SPANISH TAGALOG

National Provider ID 1598768590

Accepting New Patients Yes. Referral may be required.

(559) 261-2999

Certification Number

JOSEPH ALIMASUYA -PRIVATE PRACTICE-

FRESNO AQUINO-CARO, EVELYN

723 E LOCUST AVE, STE 120

FRESNO, CA 93720

Psychiatrist

CA License Number 40198

Other Languages TAGALOG

National Provider ID 1679668016

Accepting New Patients Yes. Referral may be required.

(559) 432-5722

Certification Number

EVELYN B AQUINO-CARO, MD

FRESNO ATWAL, JASMINE

7055 N CHESTNUT AVE, STE 101

FRESNO, CA 93720

Psychiatrist

CA License Number G123075

Other Languages

National Provider ID 1568786374

Accepting New Patients Yes. Referral may be required.

(559) 298-3006

Certification Number

JASMINE ATWAL -PRIVATE PRACTICE-

FRESNO ATWAL, SATNAM

7055 N CHESTNUT AVE, STE 101

FRESNO, CA 93720

Psychiatrist

CA License Number 45196

Other Languages PANJABI

National Provider ID 1528121852

Accepting New Patients Yes. Referral may be required.

(559) 298-5111

Certification Number

SATNAM ATWAL -PRIVATE PRACTICE-

FRESNO BACCARO, MARIA

30 E RIVER PARK PL W, STE 310

FRESNO, CA 93720

Psychiatrist

CA License Number A00031661

Other Languages SPANISH

National Provider ID 1295984607

Accepting New Patients Yes. Referral may be required.

(559) 434-1668

Certification Number

MARIA M BACCARO

FRESNO BAKER, KARLA

7760 N FRESNO ST, STE 103

FRESNO, CA 93720

Licensed Clinical Social Worker

CA License Number LCSW7756

Other Languages

National Provider ID 1295843605

Accepting New Patients Yes. Referral may be required.

(559) 281-0997

Certification Number

KARLA BAKER -PRIVATE PRACTICE-

Page 111 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO BAKER, KARLA

7760 N FRESNO ST, STE 103

FRESNO, CA 93720

Licensed Clinical Social Worker

CA License Number LCSW7756

Other Languages

National Provider ID 1295843605

Accepting New Patients Yes. Referral may be required.

(559) 281-0997

Certification Number

KARLA BAKER -PRIVATE PRACTICE-

FRESNO BASSMAN, LYNETTE

5130 E CLINTON WAY,

FRESNO, CA 93727

Psychologist

CA License Number PSY16362

Other Languages

National Provider ID 1649201500

Accepting New Patients Yes. Referral may be required.

(559) 549-4989

Certification Number

LYNETTE BASSMAN

FRESNO BLAIR, KATRINA

2547 W SHAW AVE, STE 117

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number 49607

Other Languages SPANISH

National Provider ID 1548392632

Accepting New Patients Yes. Referral may be required.

(559) 412-7799

Certification Number

KATRINA BLAIR -PRIVATE PRACTICE-

FRESNO BLAIR, VINCENT

2547 W SHAW AVE, STE 117

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number 51015

Other Languages

National Provider ID 1497937775

Accepting New Patients Yes. Referral may be required.

(559) 412-7799

Certification Number

VINCENT BLAIR -PRIVATE PRACTICE-

FRESNO BOOK, DIANE

1357 W SHAW AVE, STE 100

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number 45706

Other Languages

National Provider ID 1144475039

Accepting New Patients Yes. Referral may be required.

(559) 691-7088

Certification Number

DIANE BOOK -PRIVATE PRACTICE-

FRESNO BRAR, NIRMAL

1130 E SHAW AVE, STE 105

FRESNO, CA 93710

Psychiatrist

CA License Number A73984

Other Languages HINDI SPANISH

National Provider ID 1710982608

Accepting New Patients Yes. Referral may be required.

(559) 227-1977

Certification Number

NIRMAL BRAR -PRIVATE PRACTICE-

Page 112 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO BREDEFELD, GARRY

5100 N 6TH ST, STE 130

FRESNO, CA 93710

Psychologist

CA License Number PSY9707

Other Languages

National Provider ID 1699789073

Accepting New Patients Yes. Referral may be required.

(559) 226-1217

Certification Number

GARRY BREDEFELD -PRIVATE PRACTICE-

FRESNO BROESEL, RONDI

4747 N 1ST ST, STE 119

FRESNO, CA 93726

Licensed Clinical Social Worker

CA License Number LCSW20731

Other Languages

National Provider ID 1558417212

Accepting New Patients Yes. Referral may be required.

(559) 226-5312

Certification Number

RONDI BROESEL -PRIVATE PRACTICE-

FRESNO BROX, WENDY

1500 W SHAW AVE, STE 400

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number MFC49402

Other Languages

National Provider ID 1154610673

Accepting New Patients Yes. Referral may be required.

(559) 287-8867

Certification Number

WENDY BROX -PRIVATE PRACTICE-

FRESNO BUCKLEY, MARY

1319 W BULLARD AVE, STE 5

FRESNO, CA 93711

Licensed Clinical Social Worker

CA License Number LCSW11572

Other Languages

National Provider ID 1992045439

Accepting New Patients Yes. Referral may be required.

(559) 464-5279

Certification Number

MARY BUCKLEY -PRIVATE PRACTICE-

FRESNO BUCKLEY, MARY

1319 W BULLARD AVE, STE 5

FRESNO, CA 93711

Licensed Clinical Social Worker

CA License Number LCSW11572

Other Languages

National Provider ID 1992045439

Accepting New Patients Yes. Referral may be required.

(559) 464-5279

Certification Number

MARY BUCKLEY -PRIVATE PRACTICE-

FRESNO BURLESON, LACY

5100 N 6TH ST, STE 135

FRESNO, CA 93710

Professional Clinical Counselor

CA License Number LPC95003937

Other Languages

National Provider ID 1710361860

Accepting New Patients Yes. Referral may be required.

(916) 576-7898

Certification Number

LACY BURLESON -PRIVATE PRACTICE-

Page 113 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO CABRERA, HECTOR

614 N ST,

SANGER, CA 93657

Licensed Clinical Social Worker

CA License Number 21831

Other Languages SPANISH

National Provider ID 1447454756

Accepting New Patients Yes. Referral may be required.

(559) 240-1496

Certification Number

HECTOR CABRERA -PRIVATE PRACTICE-

FRESNO CARDOZA, JULIE

4763 W SPRUCE AVE, STE 104

FRESNO, CA 93722

Marriage and Family Therapist

CA License Number 41066

Other Languages

National Provider ID 1477670065

Accepting New Patients Yes. Referral may be required.

(559) 573-8171

Certification Number

JULIE CARDOZA -PRIVATE PRACTICE-

FRESNO CHRISTENSEN, KRISTIE

1702 E BULLARD AVE

FRESNO, CA 93710

Licensed Clinical Social Worker

CA License Number LCS24522

Other Languages

National Provider ID 1629499348

Accepting New Patients Yes. Referral may be required.

(559) 304-9804

Certification Number

KRISTIE CHRISTENSEN -PRIVATE PRACTICE

FRESNO CHUA, LETICIA

1060 W SIERRA AVE,

FRESNO, CA 93711

Psychiatrist

CA License Number A39876

Other Languages TAGALOG SPANISH

National Provider ID 1598877854

Accepting New Patients Yes. Referral may be required.

(559) 437-1111

Certification Number

LETICIA CHUA -PRIVATE PRACTICE-

FRESNO CONFINO, JULES

1306 W HERNDON AVE, STE 108

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number MFC15192

Other Languages

National Provider ID 1154403897

Accepting New Patients Yes. Referral may be required.

(559) 435-6861

Certification Number

JULES CONFINO -PRIVATE PRACTICE-

FRESNO CONSTANT, ANDREW

614 N STREET,

FRESNO, CA 93727

Marriage and Family Therapist

CA License Number 91238

Other Languages JAPANESE

National Provider ID 1215103726

Accepting New Patients Yes. Referral may be required.

(559) 317-8286

Certification Number

ANDREW CONSTANT -PRIVATE PRACTICE-

Page 114 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO COPPOLA, NOELLE

1357 W SHAW AVE, STE 103

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number MFC53635

Other Languages

National Provider ID 1639590201

Accepting New Patients Yes. Referral may be required.

(559) 426-6727

Certification Number

NOELLE COPPOLA -PRIVATE PRACTICE-

FRESNO CRABTREE, DAVID

1704 E BULLARD AVE,

FRESNO, CA 93710

Licensed Clinical Social Worker

CA License Number 17531

Other Languages

National Provider ID 1184784472

Accepting New Patients Yes. Referral may be required.

(559) 960-1129

Certification Number

DAVID CRABTREE -PRIVATE PRACTICE-

FRESNO CRABTREE, DAVID

1704 E BULLARD AVE

FRESNO, CA 93710

Licensed Clinical Social Worker

CA License Number LCS17531

Other Languages

National Provider ID 1184784472

Accepting New Patients Yes. Referral may be required.

(559) 960-1129

Certification Number

DAVID CRABTREE -PRIVATE PRACTICE-

FRESNO CROSBIE, LAURIE

1357 W SHAW AVE, STE 102

FRESNO, CA 93711

Licensed Clinical Social Worker

CA License Number LCS26583

Other Languages

National Provider ID 1285946509

Accepting New Patients Yes. Referral may be required.

(559) 779-0418

Certification Number

LAURIE CROSBIE -PRIVATE PRACTICE-

FRESNO DACH, NICHOLAS

5588 N PALM AVE, STE 2

FRESNO, CA 93704

Licensed Clinical Social Worker

CA License Number LCSW18633

Other Languages

National Provider ID 1932135589

Accepting New Patients Yes. Referral may be required.

(559) 696-9455

Certification Number

NICK PETER DACH LCSW

FRESNO FARLEY-BATES, NINA

5446 N PALM AVE, STE 101

FRESNO, CA 93704

Licensed Clinical Social Worker

CA License Number LCS24358

Other Languages

National Provider ID 1346448651

Accepting New Patients Yes. Referral may be required.

(559) 760-5798

Certification Number

NINA FARLEY-BATES -PRIVATE PRACTICE-

Page 115 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO FIELD, CHRISTINE

334 W SHAW AVE, APT A

FRESNO, CA 93704

Marriage and Family Therapist

CA License Number 42385

Other Languages

National Provider ID 1861617334

Accepting New Patients Yes. Referral may be required.

(559) 246-6203

Certification Number

CHRISTINE FIELD -PRIVATE PRACTICE-

FRESNO FOX, DAVID

3443 W SHAW AVE,

FRESNO, CA 93711

Psychiatrist

CA License Number G34063

Other Languages

National Provider ID 1144374091

Accepting New Patients Yes. Referral may be required.

(559) 271-1186

Certification Number

DAVID FOX -PRIVATE PRACTICE-

FRESNO FU, KAREN

1617 W SHAW AVE, STE D

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number 36438

Other Languages

National Provider ID 1528007861

Accepting New Patients Yes. Referral may be required.

(559) 244-5880

Certification Number

KAREN FU -PRIVATE PRACTICE-

FRESNO FULTON, TRACY

5464 N PALM AVE, STE B

FRESNO, CA 93704

Marriage and Family Therapist

CA License Number LMFT43719

Other Languages

National Provider ID 1417023540

Accepting New Patients Yes. Referral may be required.

(559) 233-3373

Certification Number

TRACY FULTON -PRIVATE PRACTICE-

FRESNO GAMINO, ROSE

1616 W SHAW AVE, STE D1

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number MFT48756

Other Languages

National Provider ID 1336390475

Accepting New Patients Yes. Referral may be required.

(559) 978-4663

Certification Number

ROSE GAMINO -PRIVATE PRACTICE-

FRESNO GAMINO, ROSE

1141 W SHAW AVE, STE 203

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number 48756

Other Languages

National Provider ID 1336390475

Accepting New Patients Yes. Referral may be required.

(559) 978-4663

Certification Number

ROSE GAMINO LMFT

Page 116 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO GOMEZ, REBECCA

55 SHAW AVE, STE 120

CLOVIS, CA 93612

Marriage and Family Therapist

CA License Number MFT53986

Other Languages

National Provider ID 1639238785

Accepting New Patients Yes. Referral may be required.

(559) 797-1880

Certification Number

REBECCA GOMEZ -PRIVATE PRACTICE-

FRESNO GUZZETTA, RICHARD

724 MEDICAL CENTER DR E, STE 106

CLOVIS, CA 93611

Psychiatrist

CA License Number G40600

Other Languages SPANISH

National Provider ID 1265422695

Accepting New Patients Yes. Referral may be required.

(559) 298-6711

Certification Number

TOUCHSTONE MEDICAL GROUP

FRESNO HEILVEIL, IRA

2210 N WEBER AVE

FRESNO, CA 93705

Psychologist

CA License Number PSY7726

Other Languages ARMENIAN

National Provider ID 1700116399

Accepting New Patients Yes. Referral may be required.

(888) 909-8741

Certification Number

IRA HEILVEIL -PRIVATE PRACTICE-

FRESNO HELLWIG, DAVID

1357 W SHAW AVE, STE 104

FRESNO, CA 93711

Psychologist

CA License Number PSY14566

Other Languages

National Provider ID 1851431977

Accepting New Patients Yes. Referral may be required.

(559) 227-4800

Certification Number

DAVID HELLWIG -PRIVATE PRACTICE-

FRESNO HOLGUIN, MICHELLE

5588 N PALM AVE,

FRESNO, CA 93704

Marriage and Family Therapist

CA License Number MFC47781

Other Languages SPANISH

National Provider ID 1790813186

Accepting New Patients Yes. Referral may be required.

(559) 549-3694

Certification Number

MICHELLE HOLGUIN -PRIVATE PRACTICE-

FRESNO HORSMAN, LACEY

1500 W SHAW AVE, STE 400

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number LMFT46897

Other Languages

National Provider ID 1720398704

Accepting New Patients Yes. Referral may be required.

(559) 824-8403

Certification Number

LACEY HORSMAN -PRIVATE PRACTICE-

Page 117 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO JANZ, HEATHER

371 E BULLARD AVE, STE 102

FRESNO, CA 93710

Marriage and Family Therapist

CA License Number MFC94996

Other Languages

National Provider ID 1659781391

Accepting New Patients Yes. Referral may be required.

(559) 825-1205

Certification Number

HEATHER JANZ -PRIVATE PRACTICE-

FRESNO KAWAGOE, KENT

5740 N PALM AVE, STE 105

FRESNO, CA 93704

Psychologist

CA License Number 13709

Other Languages

National Provider ID 1497882302

Accepting New Patients Yes. Referral may be required.

(559) 431-1900

Certification Number

KENT KAWAGOE -PRIVATE PRACTICE-

FRESNO KING, RICHARD

1130 E SHAW AVE, STE 105

FRESNO, CA 93710

Psychologist

CA License Number 10350

Other Languages SPANISH

National Provider ID 1265455042

Accepting New Patients Yes. Referral may be required.

(559) 227-1977

Certification Number

RICHARD KING -PRIVATE PRACTICE-

FRESNO KING, RICHARD

1130 E SHAW AVE, STE 105

FRESNO, CA 93710

Psychologist

CA License Number PSY10350

Other Languages SPANISH

National Provider ID 1265455042

Accepting New Patients Yes. Referral may be required.

(559) 227-1977

Certification Number

RICHARD KING -PRIVATE PRACTICE-

FRESNO KLASSEN-ISAAK, ESTHER

1357 W SHAW AVE, STE 100

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number MFT44208

Other Languages

National Provider ID 1811149958

Accepting New Patients Yes. Referral may be required.

(559) 365-6676

Certification Number

ESTHER KLASSEN-ISAAK -PRIVATE PRACTI

FRESNO LIRETTE, LYNN

5740 N PALM AVE, STE 105

FRESNO, CA 93704

Licensed Clinical Social Worker

CA License Number LCS5446

Other Languages

National Provider ID 1003820929

Accepting New Patients Yes. Referral may be required.

(559) 224-8419

Certification Number

LYNN LIRETTE LCSW

Page 118 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO MCDONALD, JAMES

264 CLOVIS AVE, STE 201

CLOVIS, CA 93612

Licensed Clinical Social Worker

CA License Number LCS7921

Other Languages FRENCH GERMAN SPANISH

National Provider ID 1336276997

Accepting New Patients Yes. Referral may be required.

(559) 324-6534

Certification Number

JAMES MCDONALD -PRIVATE PRACTICE-

FRESNO MCINTOSH, JOYCE

5100 N 6TH ST, STE 142

FRESNO, CA 93710

Licensed Clinical Social Worker

CA License Number LCS26315

Other Languages

National Provider ID 1740699594

Accepting New Patients Yes. Referral may be required.

(559) 270-0178

Certification Number

JOYCE MCINTOSH -PRIVATE PRACTICE-

FRESNO MCKEE, BRUCE

7760 N FRESNO ST, STE 103

FRESNO, CA 93720

Licensed Clinical Social Worker

CA License Number LCS08909

Other Languages

National Provider ID 1174672232

Accepting New Patients Yes. Referral may be required.

(559) 446-1041

Certification Number

BRUCE D MCKEE LCSW BCD COUNSEL

FRESNO MCKEE, BRUCE

7760 N FRESNO ST, STE 103

FRESNO, CA 93720

Licensed Clinical Social Worker

CA License Number LCS08909

Other Languages

National Provider ID 1174672232

Accepting New Patients Yes. Referral may be required.

(559) 446-1041

Certification Number

BRUCE D MCKEE LCSW BCD COUNSEL

FRESNO MCOMBER, MARK

624 WOODWORTH AVE,

CLOVIS, CA 93612

Licensed Clinical Social Worker

CA License Number LCS26149

Other Languages

National Provider ID 1104941830

Accepting New Patients Yes. Referral may be required.

(559) 297-6060

Certification Number

MARK MCOMBER -PRIVATE PRACTICE-

FRESNO MENDEZ, ANGELA

1295 N WISHON AVE, STE 211

FRESNO, CA 93728

Marriage and Family Therapist

CA License Number LMFT53050

Other Languages SPANISH

National Provider ID 1831455286

Accepting New Patients Yes. Referral may be required.

(559) 316-1097

Certification Number

ANGELA MENDEZ -PRIVATE PRACTICE-

Page 119 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO MIDDLETON, JOHN

1306 W HERNDON ST, STE 108

FRESNO, CA 93711

Psychiatrist

CA License Number A51829

Other Languages THAI SPANISH

National Provider ID 1427160720

Accepting New Patients Yes. Referral may be required.

(559) 439-1534

Certification Number

JOHN MIDDLETON -PRIVATE PRACTICE-

FRESNO MILLER, DAVID

3134 WILLOW AVE, STE 103

CLOVIS, CA 93612

Marriage and Family Therapist

CA License Number 45390

Other Languages

National Provider ID 1033327473

Accepting New Patients Yes. Referral may be required.

(559) 977-0614

Certification Number

DAVID MILLER -PRIVATE PRACTICE-

FRESNO MORGAN, ALEXIA

106 POLLASKY AVE,

CLOVIS, CA 93612

Psychologist

CA License Number 14911

Other Languages SPANISH

National Provider ID 1245327626

Accepting New Patients Yes. Referral may be required.

(559) 472-8375

Certification Number

ALEXIA MORGAN -PRIVATE PRACTICE-

FRESNO MUNSELL, JEANNE

5588 N PALM AVE,

FRESNO, CA 93704

Marriage and Family Therapist

CA License Number 27391

Other Languages SPANISH FRENCH

National Provider ID 1780990069

Accepting New Patients Yes. Referral may be required.

(888) 832-3261

Certification Number

JEANNE MUNSELL -PRIVATE PRACTICE-

FRESNO NESS, BONNIE

6081 N 1ST ST, STE 102

FRESNO, CA 93710

Licensed Clinical Social Worker

CA License Number LCS12021

Other Languages

National Provider ID 1104159227

Accepting New Patients Yes. Referral may be required.

(559) 301-7582

Certification Number

BONNIE NESS -PRIVATE PRACTICE-

FRESNO NIEHAUS, CRYSTAL

5588 N PALM AVE,

FRESNO, CA 93704

Marriage and Family Therapist

CA License Number MFT83621

Other Languages

National Provider ID 1619246774

Accepting New Patients Yes. Referral may be required.

(559) 549-3588

Certification Number

CRYSTAL NIEHAUS -PRIVATE PRACTICE-

Page 120 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO OAKLEY, DANIEL

1690 W SHAW AVE, STE 102

FRESNO, CA 93711

Psychologist

CA License Number 23659

Other Languages

National Provider ID 1568742567

Accepting New Patients Yes. Referral may be required.

(559) 255-5900

Certification Number

DANIEL OAKLEY -PRIVATE PRACTICE-

FRESNO ORTIZ-NANCE, EDWYN

2080 N WINERY AVE, STE 101

FRESNO, CA 93703

Psychologist

CA License Number 18170

Other Languages

National Provider ID 1467625368

Accepting New Patients Yes. Referral may be required.

(559) 252-6353

Certification Number

EDWYN ORTIZ-NANCE -PRIVATE PRACTICE-

FRESNO OTTEN, REBECCA

55 SHAW AVE, STE 120

CLOVIS, CA 93612

Marriage and Family Therapist

CA License Number 46527

Other Languages

National Provider ID 1659405785

Accepting New Patients Yes. Referral may be required.

(559) 549-6066

Certification Number

REBECCA OTTEN -PRIVATE PRACTICE-

FRESNO PERSON, IRIS

1600 WILLOW AVE,

CLOVIS, CA 93612

Licensed Clinical Social Worker

CA License Number 66798

Other Languages

National Provider ID 1760865463

Accepting New Patients Yes. Referral may be required.

(559) 765-9644

Certification Number

IRIS PERSON -PRIVATE PRACTICE-

FRESNO PONTIOUS, LORI

55 SHAW AVE, STE 120

CLOVIS, CA 93612

Marriage and Family Therapist

CA License Number MFC49291

Other Languages

National Provider ID 1629193586

Accepting New Patients Yes. Referral may be required.

(559) 417-6540

Certification Number

LORI PONTIOUS -PRIVATE PRACTICE-

FRESNO POU, CATHERINE

2547 W SHAW AVE, STE 117

FRESNO, CA 93711

Psychologist

CA License Number PSY22197

Other Languages SPANISH

National Provider ID 1871743880

Accepting New Patients Yes. Referral may be required.

(559) 412-7799

Certification Number

CATHERINE POU -PRIVATE PRACTICE-

Page 121 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO POWROZNIK, JAMES

5588 N PALM AVE, STE P4

FRESNO, CA 93704

Marriage and Family Therapist

CA License Number MFC43539

Other Languages

National Provider ID 1174646954

Accepting New Patients Yes. Referral may be required.

(559) 916-0411

Certification Number

JAMES POWROZNIK -PRIVATE PRACTICE-

FRESNO PRIYANKA, PRIYANKA

5100 N 6TH ST, STE 135

FRESNO, CA 93710

Psychiatrist

CA License Number A119376

Other Languages

National Provider ID 1881866275

Accepting New Patients Yes. Referral may be required.

(559) 490-2067

Certification Number

PRIYANKA PRIYANKA -PRIVATE PRACTICE-

FRESNO RADELLANT, CHARMAINE

4021 N FRESNO ST, STE 101

FRESNO, CA 93726

Psychologist

CA License Number PSY22964

Other Languages

National Provider ID 1619194347

Accepting New Patients Yes. Referral may be required.

(559) 307-9505

Certification Number

CHARMAINE RADELLANT -PRIVATE PRACTIC

FRESNO RECKTENWALD, ELIZABETH

5100 N 6TH ST, STE 135

FRESNO, CA 93710

Nurse Practitioner

CA License Number 95103281

Other Languages

National Provider ID 1184998668

Accepting New Patients Yes. Referral may be required.

(916) 576-7898

Certification Number

ELIZABETH RECKTENWALD -PRIVATE PRAC

FRESNO RITCHEY, JAN

1472 W SHAW AVE

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number MFC27454

Other Languages

National Provider ID 1801959960

Accepting New Patients Yes. Referral may be required.

(559) 446-1631

Certification Number

JAN RITCHEY -PRIVATE PRACTICE-

FRESNO RITCHEY, JAN

1472 W SHAW AVE,

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number MFC27454

Other Languages

National Provider ID 1801959960

Accepting New Patients Yes. Referral may be required.

(559) 446-1631

Certification Number

JAN RITCHEY -PRIVATE PRACTICE-

Page 122 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO ROBINSON, RANDALL

3128 WILLOW AVE, STE 102

CLOVIS, CA 93612

Psychologist

CA License Number PSY00005527

Other Languages SPANISH

National Provider ID 1275521411

Accepting New Patients Yes. Referral may be required.

(559) 292-3100

Certification Number

RANDALL ROBINSON PHD

FRESNO ROSIK, CHRISTOPHER

1734 W SHAW AVE

FRESNO, CA 93711

Psychologist

CA License Number PSY10532

Other Languages HMONG SPANISH

National Provider ID 1801810205

Accepting New Patients Yes. Referral may be required.

(559) 439-2647

Certification Number

LINK CARE CENTER

FRESNO SALDATE, AMBER

1616 W SHAW AVE,

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number MFC86041

Other Languages

National Provider ID 1700161460

Accepting New Patients Yes. Referral may be required.

(559) 801-1480

Certification Number

AMBER SALDATE -PRIVATE PRACTICE-

FRESNO SCHOMAKER, ELAINE

2665 HOLLY AVE,

CLOVIS, CA 93611

Licensed Clinical Social Worker

CA License Number LMFT26031

Other Languages

National Provider ID 1770685224

Accepting New Patients Yes. Referral may be required.

(559) 292-0701

Certification Number

ELAINE SCHOMAKER -PRIVATE PRACTICE-

FRESNO SEGRESS, BARBARA

2565 E PERRIN AVE, STE 109

FRESNO, CA 93720

Marriage and Family Therapist

CA License Number MFC15925

Other Languages

National Provider ID 1518993948

Accepting New Patients Yes. Referral may be required.

(559) 322-6999

Certification Number

BARBARA SEGRESS -PRIVATE PRACTICE-

FRESNO SLAGLE, LAURA

6276 N 1ST ST, STE 103

FRESNO, CA 93710

Marriage and Family Therapist

CA License Number MFC83605

Other Languages

National Provider ID 1922255199

Accepting New Patients Yes. Referral may be required.

(559) 530-2822

Certification Number

LAURA SLAGLE -PRIVATE PRACTICE-

Page 123 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO SMITH, H DAN

1060 W SIERRA AVE, STE 105

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number MFC17591

Other Languages SPANISH

National Provider ID 1063524395

Accepting New Patients Yes. Referral may be required.

(559) 437-1111

Certification Number

BIO-BEHAVIORAL MED CLINICS INC

FRESNO SNIFFIN, DENISE

6777 N WILLOW AVE,

FRESNO, CA 93710

Psychologist

CA License Number PSY24999

Other Languages SPANISH

National Provider ID 1013277755

Accepting New Patients Yes. Referral may be required.

(559) 440-1004

Certification Number

DENISE SNIFFIN -PRIVATE PRACTICE-

FRESNO SOLIMAN, ERENE

7170 N FINANCIAL DR, STE 102

FRESNO, CA 93720

Psychologist

CA License Number 23162

Other Languages

National Provider ID 1881912244

Accepting New Patients Yes. Referral may be required.

(559) 449-2734

Certification Number

ERENE SOLIMAN -PRIVATE PRACTICE-

FRESNO SOLIMAN, ERENE

5151 N PALM AVE, STE 500

FRESNO, CA 93704

Psychologist

CA License Number 23162

Other Languages

National Provider ID 1881912244

Accepting New Patients Yes. Referral may be required.

(559) 449-2734

Certification Number

ERENE SOLIMAN -PRIVATE PRACTICE-

FRESNO STEINBACH, KENNETH

1060 W SIERRA AVE, STE 105

FRESNO, CA 93711

Psychiatrist

CA License Number A00043021

Other Languages SPANISH TAGALOG

National Provider ID 1821100173

Accepting New Patients Yes. Referral may be required.

(559) 437-1111

Certification Number

BIO-BEHAVIORAL MED CLINICS INC

FRESNO STRATFORD, KENT

516 W SHAW AVE, STE 200

FRESNO, CA 93704

Marriage and Family Therapist

CA License Number MFC31468

Other Languages SPANISH AFRICAN

National Provider ID 1295850113

Accepting New Patients Yes. Referral may be required.

(559) 960-1608

Certification Number

KENT STRATFORD -PRIVATE PRACTICE-

Page 124 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO SUNDAY, GARY

1975 N EMIL AVE

CLOVIS, CA 93619

Psychologist

CA License Number PSY12224

Other Languages

National Provider ID 1104986561

Accepting New Patients Yes. Referral may be required.

(559) 252-2010

Certification Number

GARY SUNDAY -PRIVATE PRACTICE-

FRESNO TEPPERMAN, MARGOT

171 N VAN NESS AVE,

FRESNO, CA 93701

Licensed Clinical Social Worker

CA License Number LCS9267

Other Languages

National Provider ID 1295956324

Accepting New Patients Yes. Referral may be required.

(559) 233-7250

Certification Number

MARGOT TEPPERMAN -PRIVATE PRACTICE-

FRESNO THOMAS, TERRI

624 WOODWORTH AVE,

CLOVIS, CA 93612

Marriage and Family Therapist

CA License Number MFC46018

Other Languages

National Provider ID 1811140486

Accepting New Patients Yes. Referral may be required.

(559) 297-6060

Certification Number

TERRI THOMAS

FRESNO VAN PELT-MOORE, DONNA

530 DEWITT AVE, STE 101

CLOVIS, CA 93612

Marriage and Family Therapist

CA License Number MFT28198

Other Languages

National Provider ID 1922169655

Accepting New Patients Yes. Referral may be required.

(559) 392-7719

Certification Number

DONNA VAN PELT-MOORE -PRIVATE PRACTI

FRESNO VOLKOFF, WILLIAM

1704 E BULLARD AVE, # 101

FRESNO, CA 93710

Marriage and Family Therapist

CA License Number 21108

Other Languages

National Provider ID 1356436729

Accepting New Patients Yes. Referral may be required.

(559) 432-1088

Certification Number

WILLIAM VOLKOFF -PRIVATE PRACTICE-

FRESNO VYDRO, ALEKSANDR

1060 W SIERRA AVE, STE 105

FRESNO, CA 93711

Psychiatrist

CA License Number A00054990

Other Languages RUSSIAN SPANISH

National Provider ID 1124130430

Accepting New Patients Yes. Referral may be required.

(559) 437-1111

Certification Number

BIO-BEHAVIORAL MED CLINICS INC

Page 125 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

FRESNO WARREN, JARYN

5150 N 6TH ST, STE 140

FRESNO, CA 93710

Professional Clinical Counselor

CA License Number 88234

Other Languages

National Provider ID 1063725802

Accepting New Patients Yes. Referral may be required.

(559) 573-7991

Certification Number

JARYN WARREN -PRIVATE PRACTICE-

FRESNO WISE, LUZ

5588 N PALM AVE,

FRESNO, CA 93704

Marriage and Family Therapist

CA License Number LMFT46534

Other Languages SPANISH

National Provider ID 1184804940

Accepting New Patients Yes. Referral may be required.

(559) 424-3915

Certification Number

LUZ WISE -PRIVATE PRACTICE-

FRESNO WOLF, MAUREEN

1463 W SHAW,

FRESNO, CA 93711

Marriage and Family Therapist

CA License Number 45298

Other Languages

National Provider ID 1144472465

Accepting New Patients Yes. Referral may be required.

(559) 222-2545

Certification Number

MAUREEN WOLF -PRIVATE PRACTICE-

FRESNO WOLTER, DAVID

264 CLOVIS AVE,

CLOVIS, CA 93612

Marriage and Family Therapist

CA License Number 49749

Other Languages

National Provider ID 1679736250

Accepting New Patients Yes. Referral may be required.

(559) 545-7087

Certification Number

DAVID WOLTER -PRIVATE PRACTICE-

KINGS AYERS, BARBARA

808 N IRWIN ST,

HANFORD, CA 93230

Psychologist

CA License Number PSY15237

Other Languages

National Provider ID 1477847820

Accepting New Patients Yes. Referral may be required.

(559) 559-2819

Certification Number

BARBARA AYERS -PRIVATE PRACTICE-

KINGS BALL, DAVID

808 N IRWIN ST,

HANFORD, CA 93230

Marriage and Family Therapist

CA License Number MFC34591

Other Languages

National Provider ID 1619944246

Accepting New Patients Yes. Referral may be required.

(559) 584-2819

Certification Number

DAVID L. BALL

Page 126 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

KINGS CAROLAN, DEBORAH

18767 KING AVE,

STRATFORD, CA 93266

Marriage and Family Therapist

CA License Number MFC13166

Other Languages

National Provider ID 1659390953

Accepting New Patients Yes. Referral may be required.

(559) 924-1504

Certification Number

DEBORAH CAROLAN -PRIVATE PRACTICE-

KINGS DAY-BROWN, JEAN

808 N IRWIN ST,

HANFORD, CA 93230

Marriage and Family Therapist

CA License Number MFT35695

Other Languages

National Provider ID 1508997776

Accepting New Patients Yes. Referral may be required.

(559) 559-2819

Certification Number

JEAN DAY-BROWN -PRIVATE PRACTICE-

KINGS RIVERA, EMILY

206 W LACEY BLVD, STE 308

HANFORD, CA 93230

Licensed Clinical Social Worker

CA License Number LCS14082

Other Languages SPANISH

National Provider ID 1285852012

Accepting New Patients Yes. Referral may be required.

(559) 584-5684

Certification Number

EMILY RIVERA -PRIVATE PRACTICE-

KINGS SELLERS, DIANE

808 N IRWIN ST,

HANFORD, CA 93230

Marriage and Family Therapist

CA License Number MFC49484

Other Languages

National Provider ID 1124323662

Accepting New Patients Yes. Referral may be required.

(559) 584-2819

Certification Number

DIANE SELLERS -PRIVATE PRACTICE-

KINGS TABATABAI, NOUSHAFARIN

808 N IRWIN ST,

HANFORD, CA 93230

Marriage and Family Therapist

CA License Number LMFT82427

Other Languages

National Provider ID 1134401730

Accepting New Patients Yes. Referral may be required.

(559) 559-2819

Certification Number

NOUSHAFARIN TABATABAI -PRIVATE PRACT

KINGS WATSON, ROGER

808 N IRWIN ST,

HANFORD, CA 93230

Marriage and Family Therapist

CA License Number 36396

Other Languages

National Provider ID 1700853330

Accepting New Patients Yes. Referral may be required.

(559) 559-2819

Certification Number

ROGER WATSON -PRIVATE PRACTICE-

Page 127 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MADERA FARLEY-BATES, NINA

40282 HIGHWAY 41, STE 2

OAKHURST, CA 93644

Licensed Clinical Social Worker

CA License Number LCS24358

Other Languages

National Provider ID 1346448651

Accepting New Patients Yes. Referral may be required.

(559) 760-5798

Certification Number

NINA FARLEY-BATES -PRIVATE PRACTICE-

MADERA FARLEY-BATES, NINA

40034 ROAD 415,

COARSEGOLD, CA 93614

Licensed Clinical Social Worker

CA License Number LCS24358

Other Languages

National Provider ID 1346448651

Accepting New Patients Yes. Referral may be required.

(559) 760-5798

Certification Number

NINA FARLEY-BATES -PRIVATE PRACTICE-

MADERA HERRMANN, MARY

49063 ROAD 426,

OAKHURST, CA 93644

Marriage and Family Therapist

CA License Number MFC23962

Other Languages

National Provider ID 1487770087

Accepting New Patients Yes. Referral may be required.

(559) 760-5796

Certification Number

MARY HERRMANN -PRIVATE PRACTICE-

MADERA KENNEDY, THERESA

40459 HIGHWAY 41, STE 5

OAKHURST, CA 93644

Licensed Clinical Social Worker

CA License Number LCS10602

Other Languages

National Provider ID 1952431678

Accepting New Patients Yes. Referral may be required.

(209) 683-3657

Certification Number

THERESA KENNEDY -PRIVATE PRACTICE-

MADERA POUNDS, DAVID

42111 ROAD 415,

COARSEGOLD, CA 93614

Psychologist

CA License Number 12409

Other Languages

National Provider ID 1154460970

Accepting New Patients Yes. Referral may be required.

(559) 683-3365

Certification Number

DAVID POUNDS -PRIVATE PRACTICE-

MADERA RODRIGUEZ, MELISSA

1834 HOWARD RD, STE F

MADERA, CA 93637

Marriage and Family Therapist

CA License Number 45981

Other Languages

National Provider ID 1730374323

Accepting New Patients Yes. Referral may be required.

(559) 706-8641

Certification Number

MELISSA RODRIGUEZ -PRIVATE PRACTICE-

Page 128 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MADERA WINDSOR, CAROL

49370 ROAD 426, STE B

OAKHURST, CA 93644

Licensed Clinical Social Worker

CA License Number LCS52237

Other Languages

National Provider ID 1104144328

Accepting New Patients Yes. Referral may be required.

(559) 267-3552

Certification Number

CAROL WINDSOR -PRIVATE PRACTICE-

MARIN ADELSTEIN, TEDDY

150 MORNING SUN AVE,

MILL VALLEY, CA 94941

Psychologist

CA License Number 12543

Other Languages

National Provider ID 1144276874

Accepting New Patients Yes. Referral may be required.

(415) 381-2209

Certification Number

TEDDY ADELSTEIN -PRIVATE PRACTICE-

MARIN APFEL, BRIGITTE

311 MILLER AVE, STE M

MILL VALLEY, CA 94941

Psychiatrist

CA License Number A101833

Other Languages GERMAN

National Provider ID 1073780714

Accepting New Patients Yes. Referral may be required.

(855) 427-2776

Certification Number

BRIGITTE APFEL -PRIVATE PRACTICE-

MARIN AUERBACH, MAXINE

412 RED HILL AVE, STE 5

SAN ANSELMO, CA 94960

Licensed Clinical Social Worker

CA License Number 3312

Other Languages

National Provider ID 1407979545

Accepting New Patients Yes. Referral may be required.

(415) 459-6182

Certification Number

MAXINE AUERBACH -PRIVATE PRACTICE-

MARIN BARNETT, MARION

905 SIR FRANCIS DRAKE BLV, STE F

KENTFIELD, CA 94904

Marriage and Family Therapist

CA License Number MFC43039

Other Languages

National Provider ID 1437327301

Accepting New Patients Yes. Referral may be required.

(415) 464-0531

Certification Number

MARION BARNETT -PRIVATE PRACTICE-

MARIN BERCUN, COREY

25 BEL MARIN KEYS BLVD,

NOVATO, CA 94949

Psychologist

CA License Number PSY6895

Other Languages MANDARIN SPANISH

National Provider ID 1851426043

Accepting New Patients Yes. Referral may be required.

(415) 346-8640

Certification Number

COREY BERCUN -PRIVATE PRACTICE-

Page 129 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN BERRY KADRIE, JAN

1703 5TH AVE, RM 205

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFC00014484

Other Languages

National Provider ID 1790902914

Accepting New Patients Yes. Referral may be required.

(415) 233-0291

Certification Number

JAN BERRY KADRIE -PRIVATE PRACTICE-

MARIN BLOCK, MARTIN

300 TAMAL PLZ, STE 140

CORTE MADERA, CA 94925

Psychologist

CA License Number PSY00011367

Other Languages

National Provider ID 1932147121

Accepting New Patients Yes. Referral may be required.

(415) 563-3438

Certification Number

MARTIN BLOCK -PRIVATE PRACTICE-

MARIN BOYAR, ALAN

1330 LINCOLN AVE,

SAN RAFAEL, CA 94901

Psychologist

CA License Number PSY00007175

Other Languages

National Provider ID 1881618692

Accepting New Patients Yes. Referral may be required.

(415) 457-9227

Certification Number

ALAN BOYAR -PRIVATE PRACTICE-

MARIN BRAZINSKY-JONES, JENNIFER

205 KELLER ST, STE 205

PETALUMA, CA 94952

Licensed Clinical Social Worker

CA License Number LCS18466

Other Languages SPANISH

National Provider ID 1841622768

Accepting New Patients Yes. Referral may be required.

(707) 364-9764

Certification Number

JENNIFER BRAZINSKY-JONES -PRIVATE PR

MARIN BROWNING, PETER

318 WESTERN AVENUE, SUITE 4

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number MFC36216

Other Languages

National Provider ID 1518068196

Accepting New Patients Yes. Referral may be required.

(707) 773-1706

Certification Number

PETER BROWNING -PRIVATE PRACTICE-

MARIN BUEHLER, LAURIE

610 D ST, A

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFT47109

Other Languages SPANISH

National Provider ID 1124171897

Accepting New Patients Yes. Referral may be required.

(415) 994-8677

Certification Number

LAURIE BUEHLER -PRIVATE PRACTICE-

Page 130 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN BUSS, BARCLAY

2 COMMERCIAL BLVD, STE 200

NOVATO, CA 94949

Marriage and Family Therapist

CA License Number 35471

Other Languages

National Provider ID 1629115746

Accepting New Patients Yes. Referral may be required.

(208) 664-1594

Certification Number

BARCLAY BUSS -PRIVATE PRACTICE-

MARIN BUTLER, ROBERT

205 KELLER ST, STE 205

PETALUMA, CA 94952

Licensed Clinical Social Worker

CA License Number LCS7338

Other Languages

National Provider ID 1093718454

Accepting New Patients Yes. Referral may be required.

(707) 523-8009

Certification Number

ROBERT BUTLER -PRIVATE PRACTICE-

MARIN BYK, JUSTINE

7 4TH ST, STE 5

PETALUMA, CA 94952

Psychologist

CA License Number 27255

Other Languages

National Provider ID 1073997292

Accepting New Patients Yes. Referral may be required.

(415) 857-1922

Certification Number

JUSTINE BYK -PRIVATE PRACTICE-

MARIN BYOUS, ERIN

1129 INDUSTRIAL AVE, STE 208A

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number 90706

Other Languages

National Provider ID 1104133016

Accepting New Patients Yes. Referral may be required.

(707) 338-0343

Certification Number

ERIN BYOUS -PRIVATE PRACTICE-

MARIN BYOUS, ERIN

205 KELLER ST, STE 202A

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number 90706

Other Languages

National Provider ID 1104133016

Accepting New Patients Yes. Referral may be required.

(707) 338-0343

Certification Number

ERIN BYOUS -PRIVATE PRACTICE-

MARIN CAMPBELL, TORRI

1330 LINCOLN AVE, STE 100

SAN RAFAEL, CA 94901

Psychologist

CA License Number 15466

Other Languages

National Provider ID 1871686162

Accepting New Patients Yes. Referral may be required.

(415) 668-9787

Certification Number

TORRI CAMPBELL -PRIVATE PRACTICE-

Page 131 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN CAPITOLO, MARK

1480 LINCOLN AVE, STE 10

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number 35458

Other Languages

National Provider ID 1891916698

Accepting New Patients Yes. Referral may be required.

(415) 456-5596

Certification Number

MARK CAPITOLO -PRIVATE PRACTICE-

MARIN CARTER, BERNIE

45 CAMINO ALTO, STE 208

MILL VALLEY, CA 94941

Marriage and Family Therapist

CA License Number MFC11652

Other Languages

National Provider ID 1497782890

Accepting New Patients Yes. Referral may be required.

(415) 485-5991

Certification Number

BERNIE CARTER -PRIVATE PRACTICE-

MARIN COLEMAN, CAYLA

1330 LINCOLN AVE, STE 106

SAN RAFAEL, CA 94901

Licensed Clinical Social Worker

CA License Number LCS19042

Other Languages

National Provider ID 1194831891

Accepting New Patients Yes. Referral may be required.

(415) 459-0716

Certification Number

CAYLA COLEMAN -PRIVATE PRACTICE-

MARIN COLLINS, SUSAN

900 S ELISEO DR, STE 104

GREENBRAE, CA 94904

Marriage and Family Therapist

CA License Number 35068

Other Languages

National Provider ID 1679697551

Accepting New Patients Yes. Referral may be required.

(415) 806-0472

Certification Number

SUSAN COLLINS -PRIVATE PRACTICE-

MARIN COLLINS, SUSAN

690 DE LONG AVE, STE 150

NOVATO, CA 94945

Marriage and Family Therapist

CA License Number 35068

Other Languages

National Provider ID 1679697551

Accepting New Patients Yes. Referral may be required.

(415) 806-0472

Certification Number

SUSAN COLLINS -PRIVATE PRACTICE-

MARIN CORYELL, JACQUI

100 TAMAL PLZ, STE 108

CORTE MADERA, CA 94925

Psychologist

CA License Number PSY20170

Other Languages

National Provider ID 1528074747

Accepting New Patients Yes. Referral may be required.

(415) 388-9003

Certification Number

JACQUI CORYELL -PRIVATE PRACTICE-

Page 132 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN COSTA, ALISON

412 RED HILL AVE, STE 2

SAN ANSELMO, CA 94960

Marriage and Family Therapist

CA License Number 29052

Other Languages PORTUGUESE

National Provider ID 1316974157

Accepting New Patients Yes. Referral may be required.

(415) 442-7907

Certification Number

ALISON COSTA -PRIVATE PRACTICE-

MARIN COUSENS, TED

130 GREENFIELD AVE, STE A

SAN ANSELMO, CA 94960

Marriage and Family Therapist

CA License Number 39070

Other Languages

National Provider ID 1376606913

Accepting New Patients Yes. Referral may be required.

(415) 289-2221

Certification Number

TED COUSENS -PRIVATE PRACTICE-

MARIN CURRY, KAREN

205 KELLER ST, STE 202A

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number MFC40953

Other Languages

National Provider ID 1780721555

Accepting New Patients Yes. Referral may be required.

(707) 479-5186

Certification Number

KAREN CURRY -PRIVATE PRACTICE-

MARIN DALZELL, ROBERT

7 4TH ST, STE 31

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number MFC29489

Other Languages SPANISH

National Provider ID 1649342700

Accepting New Patients Yes. Referral may be required.

(707) 765-1009

Certification Number

ROBERT DALZELL -PRIVATE PRACTICE-

MARIN DAVIDSON, NATALIE

830 5TH AVE,

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number 20880

Other Languages

National Provider ID 1275790347

Accepting New Patients Yes. Referral may be required.

(415) 226-1177

Certification Number

NATALIE DAVIDSON -PRIVATE PRACTICE-

MARIN DENNIS-GREGORY, CLARE

350 BON AIR RD, STE 240

GREENBRAE, CA 94904

Marriage and Family Therapist

CA License Number LMFT42358

Other Languages

National Provider ID 1184872798

Accepting New Patients Yes. Referral may be required.

(415) 717-5786

Certification Number

CLARE DENNIS-GREGORY -PRIVATE PRACTI

Page 133 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN DENNIS-GREGORY, CLARE

10A MAIN ST,

SAN QUENTIN, CA 94964

Marriage and Family Therapist

CA License Number LMFT42358

Other Languages

National Provider ID 1184872798

Accepting New Patients Yes. Referral may be required.

(415) 485-5422

Certification Number

CLARE DENNIS-GREGORY -PRIVATE PRACTI

MARIN DEVINE, SANDRA

300 PROFESSIONAL CENTER D, # 322

NOVATO, CA 94947

Licensed Clinical Social Worker

CA License Number LCS11548

Other Languages

National Provider ID 1487756110

Accepting New Patients Yes. Referral may be required.

(415) 884-9003

Certification Number

SANDRA DEVINE -PRIVATE PRACTICE-

MARIN DONNELLY, DIANE

1030 SIR FRANCIS DRAKE BL, STE 120

KENTFIELD, CA 94904

Psychologist

CA License Number PSY00007418

Other Languages

National Provider ID 1558382945

Accepting New Patients Yes. Referral may be required.

(415) 563-3920

Certification Number

DIANE DONNELLY -PRIVATE PRACTICE-

MARIN DRIESSEN, REBEKAH

405 E D ST

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number MFC47593

Other Languages

National Provider ID 1518010735

Accepting New Patients Yes. Referral may be required.

(707) 280-0668

Certification Number

REBEKAH DRIESSEN -PRIVATE PRACTICE-

MARIN DUKE, CAROL

3030 BRIDGEWAY

SAUSALITO, CA 94965

Marriage and Family Therapist

CA License Number MFC31320

Other Languages

National Provider ID 1922497452

Accepting New Patients Yes. Referral may be required.

(415) 332-0333

Certification Number

CAROL DUKE -PRIVATE PRACTICE-

MARIN DUNLAP, MARGARET

1 BODEGA AVE, STE 1

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number MFC29003

Other Languages

National Provider ID 1144387754

Accepting New Patients Yes. Referral may be required.

(707) 523-9504

Certification Number

MARGARET DUNLAP -PRIVATE PRACTICE-

Page 134 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN FAERSTEIN, BERT

1030 SIR FRANCIS DRAKE BL, STE 120

KENTFIELD, CA 94904

Psychologist

CA License Number PSY5238

Other Languages

National Provider ID 1457372849

Accepting New Patients Yes. Referral may be required.

(415) 673-1290

Certification Number

BERT FAERSTEIN -PRIVATE PRACTICE-

MARIN FAERSTEIN, BERT

1030 SIR FRANCIS DRAKE BL, STE 120

KENTFIELD, CA 94904

Psychologist

CA License Number PSY00005238

Other Languages

National Provider ID 1457372849

Accepting New Patients Yes. Referral may be required.

(415) 673-1290

Certification Number

BERT FAERSTEIN -PRIVATE PRACTICE-

MARIN FRANKLIN, LESLIE

610 D ST,

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number 20892

Other Languages

National Provider ID 1578610432

Accepting New Patients Yes. Referral may be required.

(415) 567-4661

Certification Number

UNION FAMILY THERAPY CENTER

MARIN FRIEDLANDER, LOIS

311 MILLER AVE, STE D

MILL VALLEY, CA 94941

Marriage and Family Therapist

CA License Number 27235

Other Languages

National Provider ID 1619216595

Accepting New Patients Yes. Referral may be required.

(415) 383-3337

Certification Number

LOIS FRIEDLANDER -PRIVATE PRACTICE-

MARIN GERWIN, WILLIAM

350 BON AIR RD, STE 200

GREENBRAE, CA 94904

Psychologist

CA License Number PSY18405

Other Languages

National Provider ID 1144469941

Accepting New Patients Yes. Referral may be required.

(415) 721-7290

Certification Number

WILLIAM GERWIN -PRIVATE PRACTICE-

MARIN GOLDSTEIN, MICHAEL

134 GREVILLIA DR,

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number MFC29976

Other Languages

National Provider ID 1427224773

Accepting New Patients Yes. Referral may be required.

(707) 782-1135

Certification Number

MICHAEL GOLDSTEIN -PRIVATE PRACTICE-

Page 135 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN GOOTNICK, ANDREW

1000 5TH AVE, STE 5

SAN RAFAEL, CA 94901

Psychologist

CA License Number G32601

Other Languages

National Provider ID 1609013952

Accepting New Patients Yes. Referral may be required.

(415) 457-8600

Certification Number

ANDREW GOOTNICK -PRIVATE PRACTICE-

MARIN GRAYER, DIANNA

7 4TH ST, STE 42

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number MFT33934

Other Languages

National Provider ID 1649328865

Accepting New Patients Yes. Referral may be required.

(707) 769-1853

Certification Number

DIANNA GRAYER -PRIVATE PRACTICE-

MARIN GREENE, STEFAN

300 PROFESSIONAL CENTER D, STE 322

NOVATO, CA 94947

Licensed Clinical Social Worker

CA License Number LCS10752

Other Languages

National Provider ID 1497717599

Accepting New Patients Yes. Referral may be required.

(415) 892-8311

Certification Number

STEFAN GREENE -PRIVATE PRACTICE-

MARIN GREENE, STEFAN

4 TRUMAN DR, STE B

NOVATO, CA 94947

Licensed Clinical Social Worker

CA License Number LCS10752

Other Languages

National Provider ID 1497717599

Accepting New Patients Yes. Referral may be required.

(415) 892-8311

Certification Number

STEFAN GREENE -PRIVATE PRACTICE-

MARIN GUSTIN, KATE

1330 LINCOLN AVE, STE 102C

SAN RAFAEL, CA 94901

Psychologist

CA License Number PSY 18713

Other Languages

National Provider ID 1396803714

Accepting New Patients Yes. Referral may be required.

(415) 877-4841

Certification Number

KATE GUSTIN -PRIVATE PRACTICE-

MARIN HAMEL, JOHN

1330 LINCOLN AVE, STE 100

SAN RAFAEL, CA 94901

Licensed Clinical Social Worker

CA License Number 15194

Other Languages

National Provider ID 1548329501

Accepting New Patients Yes. Referral may be required.

(415) 472-3275

Certification Number

JOHN HAMEL -PRIVATE PRACTICE-

Page 136 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN HART, ROSSANA

222 WELLER ST, STE 205

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number LMFT87982

Other Languages

National Provider ID 1992059844

Accepting New Patients Yes. Referral may be required.

(415) 548-0911

Certification Number

ROSSANA HART -PRIVATE PRACTICE-

MARIN HATCH, KATHARINE

3030 BRIDGEWAY, STE 107

SAUSALITO, CA 94965

Psychologist

CA License Number 20991

Other Languages

National Provider ID 1407114838

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

KATHARINE HATCH -PRIVATE PRACTICE-

MARIN HATCH, KATHARINE

700 E ST, STE 207

SAN RAFAEL, CA 94901

Psychologist

CA License Number 20991

Other Languages

National Provider ID 1407114838

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

KATHARINE HATCH -PRIVATE PRACTICE-

MARIN HERZOG, VICTORIA

1516 GRANT AVE, STE 326

NOVATO, CA 94945

Marriage and Family Therapist

CA License Number 47418

Other Languages SPANISH PORTUGUESE

National Provider ID 1356544126

Accepting New Patients Yes. Referral may be required.

(415) 322-0717

Certification Number

VICTORIA HERZOG -PRIVATE PRACTICE-

MARIN HINARD, VALERIE

1480 LINCOLN AVE, STE 5

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number 50158

Other Languages

National Provider ID 1679915219

Accepting New Patients Yes. Referral may be required.

(707) 939-7018

Certification Number

VALERIE HINARD -PRIVATE PRACTICE-

MARIN HOUGH, DIANE

1924 4TH ST, STE A

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number 32133

Other Languages

National Provider ID 1659686632

Accepting New Patients Yes. Referral may be required.

(415) 312-0744

Certification Number

DIANE HOUGH -PRIVATE PRACTICE-

Page 137 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN INGENITO, CHRISTINA

204 G ST

PETALUMA, CA 94952

Licensed Clinical Social Worker

CA License Number LCS11949

Other Languages

National Provider ID 1518279926

Accepting New Patients Yes. Referral may be required.

(707) 773-7755

Certification Number

CHRISTINA INGENITO -PRIVATE PRACTICE-

MARIN IZEN-TENGBERGEN, SHARON

159 KENTUCKY ST, STE 1

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number MFC31994

Other Languages

National Provider ID 1386786572

Accepting New Patients Yes. Referral may be required.

(707) 758-6094

Certification Number

SHARON IZEN-TENGBERGEN -PRIVATE PRA

MARIN JANZEN, CALVIN

750 LAS GALLINAS AVE, STE 116A

SAN RAFAEL, CA 94903

Psychiatrist

CA License Number G13874

Other Languages

National Provider ID 1831225093

Accepting New Patients Yes. Referral may be required.

(415) 479-3314

Certification Number

CALVIN JANZEN -PRIVATE PRACTICE-

MARIN JAROSZ, KATHY

300 TAMAL PLZ, STE 140

CORTE MADERA, CA 94925

Licensed Clinical Social Worker

CA License Number LCS14376

Other Languages

National Provider ID 1326196882

Accepting New Patients Yes. Referral may be required.

(415) 999-4414

Certification Number

KATHY JAROSZ

MARIN JERN, CHERYL

7 4TH ST, STE 13

PETALUMA, CA 94952

Licensed Clinical Social Worker

CA License Number 7732

Other Languages

National Provider ID 1386750560

Accepting New Patients Yes. Referral may be required.

(707) 762-9398

Certification Number

CHERYL JERN -PRIVATE PRACTICE-

MARIN JERN, CHERYL

7 4TH ST, STE 13

PETALUMA, CA 94952

Licensed Clinical Social Worker

CA License Number LCS7732

Other Languages

National Provider ID 1386750560

Accepting New Patients Yes. Referral may be required.

(707) 762-9398

Certification Number

CHERYL JERN -PRIVATE PRACTICE-

Page 138 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN KAHN, DANA

711 D ST, STE 204

SAN RAFAEL, CA 94901

Psychologist

CA License Number PSY14576

Other Languages

National Provider ID 1578657003

Accepting New Patients Yes. Referral may be required.

(415) 886-8916

Certification Number

DANA KAHN -PRIVATE PRACTICE-

MARIN KAHN, DANA

7 4TH ST, STE 16

PETALUMA, CA 94952

Psychologist

CA License Number PSY14576

Other Languages

National Provider ID 1578657003

Accepting New Patients Yes. Referral may be required.

(415) 886-8916

Certification Number

DANA KAHN -PRIVATE PRACTICE-

MARIN KAHN, JANE

100 TAMAL PLZ, STE 170

CORTE MADERA, CA 94925

Psychologist

CA License Number 19486

Other Languages

National Provider ID 1225192347

Accepting New Patients Yes. Referral may be required.

(415) 572-8492

Certification Number

JANE KAHN -PRIVATE PRACTICE-

MARIN KELLY, ERIC

2 COMMERCIAL BLVD, STE 200

NOVATO, CA 94949

Marriage and Family Therapist

CA License Number MFC32566

Other Languages

National Provider ID 1699788133

Accepting New Patients Yes. Referral may be required.

(415) 472-5282

Certification Number

ERIC KELLY -PRIVATE PRACTICE-

MARIN KEPNER, ALAN

830 5TH AVE,

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFC14032

Other Languages

National Provider ID 1750432944

Accepting New Patients Yes. Referral may be required.

(415) 898-0415

Certification Number

ALAN KEPNER -PRIVATE PRACTICE-

MARIN KILLEN, BRUCE

130 GREENFIELD AVE,

SAN ANSELMO, CA 94960

Marriage and Family Therapist

CA License Number 33278

Other Languages SPANISH

National Provider ID 1801931290

Accepting New Patients Yes. Referral may be required.

(415) 602-4320

Certification Number

BRUCE KILLEN -PRIVATE PRACTICE-

Page 139 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN KING, BRIAN

3030 BRIDGEWAY, STE 107

SAUSALITO, CA 94965

Psychologist

CA License Number 24607

Other Languages SPANISH

National Provider ID 1942490230

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

BRIAN KING -PRIVATE PRACTICE-

MARIN KOKE, THERESA

1703 5TH AVE, STE 301

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFC27900

Other Languages

National Provider ID 1871504951

Accepting New Patients Yes. Referral may be required.

(415) 488-4411

Certification Number

THERESA KOKE -PRIVATE PRACTICE-

MARIN LANE, LOIS

412 RED HILL AVE, STE 5

SAN ANSELMO, CA 94960

Licensed Clinical Social Worker

CA License Number LCS00003963

Other Languages

National Provider ID 1831202530

Accepting New Patients Yes. Referral may be required.

(415) 459-3342

Certification Number

LOIS LANE -PRIVATE PRACTICE-

MARIN LANGER, LAURIE

292 RIVIERA CIR,

LARKSPUR, CA 94939

Licensed Clinical Social Worker

CA License Number LCSW00007518

Other Languages

National Provider ID 1700076130

Accepting New Patients Yes. Referral may be required.

(925) 946-1622

Certification Number

LAURIE LANGER -PRIVATE PRACTICE-

MARIN LARGMAN, CAROL

300 TAMAL PLAZA,

CORTE MADERA, CA 94925

Licensed Clinical Social Worker

CA License Number LCS9830

Other Languages

National Provider ID 1780617845

Accepting New Patients Yes. Referral may be required.

(415) 924-1361

Certification Number

CAROL LARGMAN -PRIVATE PRACTICE-

MARIN LASSER, ROBERT

1125 SIRFRANCIS DRAKE BLV,

KENTFIELD, CA 94904

Psychologist

CA License Number PSY7037

Other Languages AFRICAN

National Provider ID 1295752707

Accepting New Patients Yes. Referral may be required.

(415) 485-3629

Certification Number

ROBERT LASSER -PRIVATE PRACTICE-

Page 140 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN LERCHIN, HARVEY

250 BEL MARIN KEYS BLVD, STE B4

NOVATO, CA 94949

Psychiatrist

CA License Number C37728

Other Languages

National Provider ID 1316057904

Accepting New Patients Yes. Referral may be required.

(415) 382-0977

Certification Number

HARVEY LERCHIN -PRIVATE PRACTICE-

MARIN LEVIN, JEFF

700 E ST, STE 206

SAN RAFAEL, CA 94901

Licensed Clinical Social Worker

CA License Number LCS00009836

Other Languages SPANISH

National Provider ID 1740382423

Accepting New Patients Yes. Referral may be required.

(415) 258-9559

Certification Number

CENTER FOR PSYCHOTHERAPY & HEALING

MARIN LEVINSON, ELAD

620 KENT ST,

PETALUMA, CA 94952

Licensed Clinical Social Worker

CA License Number 6899

Other Languages

National Provider ID 1336459338

Accepting New Patients Yes. Referral may be required.

(707) 779-9190

Certification Number

ELAD LEVINSON -PRIVATE PRACTICE-

MARIN LEVY, BRUCE

655 REDWOOD HWY FRONTAGE , STE 119

MILL VALLEY, CA 94941

Marriage and Family Therapist

CA License Number LMFT11826

Other Languages

National Provider ID 1922208396

Accepting New Patients Yes. Referral may be required.

(415) 608-4888

Certification Number

BRUCE LEVY -PRIVATE PRACTICE-

MARIN LOCKERT, ZOE

204 G ST,

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number 46153

Other Languages

National Provider ID 1396173852

Accepting New Patients Yes. Referral may be required.

(707) 338-1862

Certification Number

ZOE LOCKERT -PRIVATE PRACTICE-

MARIN LOCKERT, ZOE

204 G ST, STE 203

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number 46153

Other Languages

National Provider ID 1396173852

Accepting New Patients Yes. Referral may be required.

(707) 338-1862

Certification Number

ZOE LOCKERT -PRIVATE PRACTICE-

Page 141 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN LYDDANE, MOLLIE

3030 BRIDGEWAY, STE 107

SAUSALITO, CA 94965

Psychologist

CA License Number 24783

Other Languages

National Provider ID 1346679404

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MOLLIE LYDDANE -PRIVATE PRACTICE-

MARIN LYDELL, KAITLYN

300 PROFESSIONAL CENTER D, STE 322

NOVATO, CA 94947

Marriage and Family Therapist

CA License Number MFC35426

Other Languages

National Provider ID 1992862874

Accepting New Patients Yes. Referral may be required.

(415) 451-7304

Certification Number

KAITLYN LYDELL -PRIVATE PRACTICE-

MARIN MACRAE, FRANCIS

1748 NOVATO BLVD, STE 210

NOVATO, CA 94947

Marriage and Family Therapist

CA License Number MFC36762

Other Languages

National Provider ID 1487689444

Accepting New Patients Yes. Referral may be required.

(415) 602-2002

Certification Number

FRANCIS MACRAE -PRIVATE PRACTICE-

MARIN MALNEKOFF, DIANE

655 REDWOOD HIGHWAY, STE 119

MILL VALLEY, CA 94941

Psychologist

CA License Number PSY16018

Other Languages

National Provider ID 1861595407

Accepting New Patients Yes. Referral may be required.

(415) 924-0860

Certification Number

DIANE MALNEKOFF -PRIVATE PRACTICE-

MARIN MALT, ILENE

1330 LINCOLN AVE, STE 307

SAN RAFAEL, CA 94901

Licensed Clinical Social Worker

CA License Number LCS12371

Other Languages

National Provider ID 1922211036

Accepting New Patients Yes. Referral may be required.

(415) 454-2734

Certification Number

ILENE MALT -PRIVATE PRACTICE-

MARIN MANOTAS, MANUEL

700 E ST, STE 202

SAN RAFAEL, CA 94901

Psychologist

CA License Number 26343

Other Languages SPANISH

National Provider ID 1093962185

Accepting New Patients Yes. Referral may be required.

(415) 547-0608

Certification Number

MANUEL MANOTAS -PRIVATE PRACTICE-

Page 142 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN MARKS, MARYANN

620 KENT ST,

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number LMFT 46991

Other Languages

National Provider ID 1104010891

Accepting New Patients Yes. Referral may be required.

(707) 322-2523

Certification Number

MARYANN MARKS -PRIVATE PRACTICE-

MARIN MARTIN, CHLOE

1030 SIR FRANCIS DRAKE BL, STE 100-1

KENTFIELD, CA 94904

Psychologist

CA License Number PSY19103

Other Languages

National Provider ID 1649722216

Accepting New Patients Yes. Referral may be required.

(415) 496-9033

Certification Number

CHLOE MARTIN -PRIVATE PRACTICE-

MARIN MARTZ, JEFFREY

5 KELLER ST, STE D

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number MFC37562

Other Languages SPANISH

National Provider ID 1457424418

Accepting New Patients Yes. Referral may be required.

(707) 338-2399

Certification Number

JEFFREY MARTZ -PRIVATE PRACTICE-

MARIN MCDONALD, KATHLEEN

1924 4TH ST,

SAN RAFAEL, CA 94901

Licensed Clinical Social Worker

CA License Number LCS11828

Other Languages

National Provider ID 1063963833

Accepting New Patients Yes. Referral may be required.

(415) 457-6569

Certification Number

KATHLEEN MCDONALD -PRIVATE PRACTICE

MARIN MENKE, JOAN

205 KELLER ST, STE 205

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number LMFT35407

Other Languages

National Provider ID 1790976645

Accepting New Patients Yes. Referral may be required.

(707) 523-8009

Certification Number

JOAN MENKE -PRIVATE PRACTICE-

MARIN METOLIUS, JONI

2680 CENTER RD,

NOVATO, CA 94947

Marriage and Family Therapist

CA License Number MFC11981

Other Languages

National Provider ID 1063528222

Accepting New Patients Yes. Referral may be required.

(415) 209-9991

Certification Number

JONI METOLIUS -PRIVATE PRACTICE-

Page 143 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN MICHALIS, CYNTHIA

700 E ST, STE 202

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number 32017

Other Languages

National Provider ID 1447314588

Accepting New Patients Yes. Referral may be required.

(415) 455-5476

Certification Number

CYNTHIA MICHALIS -PRIVATE PRACTICE-

MARIN MICHELSON, GOLDA

610 D ST

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFC13435

Other Languages

National Provider ID 1104858679

Accepting New Patients Yes. Referral may be required.

(415) 272-0804

Certification Number

GOLDA MICHELSON -PRIVATE PRACTICE-

MARIN MIRANDA, GABRIELLE

250 BEL MARIN KEYS BLVD, STE C1

NOVATO, CA 94949

Marriage and Family Therapist

CA License Number 43146

Other Languages

National Provider ID 1053570366

Accepting New Patients Yes. Referral may be required.

(415) 572-6455

Certification Number

GABRIELLE MIRANDA -PRIVATE PRACTICE-

MARIN MIRANDA, GABRIELLE

558 SAN ANSELMO AVE, STE C

SAN ANSELMO, CA 94960

Marriage and Family Therapist

CA License Number 43146

Other Languages

National Provider ID 1053570366

Accepting New Patients Yes. Referral may be required.

(415) 572-6455

Certification Number

GABRIELLE MIRANDA, MFT

MARIN NOLAN, PATRICIA

65 CALYPSO SHORES,

NOVATO, CA 94949

Licensed Clinical Social Worker

CA License Number LCS11115

Other Languages

National Provider ID 1437137585

Accepting New Patients Yes. Referral may be required.

(415) 328-8815

Certification Number

PATRICIA NOLAN -PRIVATE PRACTICE-

MARIN NOONAN, LYNN

1030 SIR FRANCIS DRAKE BL,

KENTFIELD, CA 94904

Psychologist

CA License Number PSY11818

Other Languages

National Provider ID 1083719470

Accepting New Patients Yes. Referral may be required.

(415) 383-8498

Certification Number

LYNN NOONAN -PRIVATE PRACTICE-

Page 144 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN NORRIS, MARSHA

1408 4TH ST, STE 35

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number 9459

Other Languages

National Provider ID 1518040211

Accepting New Patients Yes. Referral may be required.

(415) 459-2703

Certification Number

MARSHA A NORRIS MA LMFT

MARIN O'CONNELL, LESLIE

21 TAMAL VISTA BLVD, STE 130

CORTE MADERA, CA 94925

Psychologist

CA License Number 18629

Other Languages

National Provider ID 1558453589

Accepting New Patients Yes. Referral may be required.

(415) 269-4481

Certification Number

LESLIE O'CONNELL -PRIVATE PRACTICE-

MARIN PARILLE, ANN

658 PLUM ST,

NOVATO, CA 94945

Marriage and Family Therapist

CA License Number MJ021738

Other Languages

National Provider ID 1255410882

Accepting New Patients Yes. Referral may be required.

(415) 974-4336

Certification Number

ANN PARILLE MFT

MARIN PHILLIPS, WALTER

250 BEL MARIN KEYS BLVD, STE C5

NOVATO, CA 94949

Marriage and Family Therapist

CA License Number MFC46007

Other Languages

National Provider ID 1023255262

Accepting New Patients Yes. Referral may be required.

(415) 788-4444

Certification Number

WALTER PHILLIPS -PRIVATE PRACTICE-

MARIN PHILLIPS, WALTER

1924 4TH ST

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFC46007

Other Languages

National Provider ID 1023255262

Accepting New Patients Yes. Referral may be required.

(415) 788-4444

Certification Number

WALTER PHILLIPS -PRIVATE PRACTICE-

MARIN POGODINA, ASYA

45 CAMINO ALTO, STE 208

MILL VALLEY, CA 94941

Licensed Clinical Social Worker

CA License Number LCCS51838

Other Languages RUSSIAN

National Provider ID 1275762197

Accepting New Patients Yes. Referral may be required.

(415) 377-3206

Certification Number

ASYA POGODINA -PRIVATE PRACTICE-

Page 145 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN PRIBUSS, PAUL

834 MISSION AVE,

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFT359111

Other Languages

National Provider ID 1225062227

Accepting New Patients Yes. Referral may be required.

(415) 454-1884

Certification Number

PAUL PRIBUSS -PRIVATE PRACTICE-

MARIN REISS, ARLENE

1330 LINCOLN AVE,

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFC29227

Other Languages

National Provider ID 1104933324

Accepting New Patients Yes. Referral may be required.

(415) 721-4468

Certification Number

ARLENE REISS -PRIVATE PRACTICE-

MARIN REISS, ARTHUR

100 CORTE ORIENTAL, APT 4

GREENBRAE, CA 94904

Psychiatrist

CA License Number G33309

Other Languages

National Provider ID 1609972397

Accepting New Patients Yes. Referral may be required.

(415) 461-4169

Certification Number

ARTHUR REISS -PRIVATE PRACTICE-

MARIN REMER, VICKI

2400 LAS GALLINAS AVE, STE 260

SAN RAFAEL, CA 94903

Marriage and Family Therapist

CA License Number 42986

Other Languages

National Provider ID 1376617910

Accepting New Patients Yes. Referral may be required.

(415) 235-1660

Certification Number

VICKI REMER -PRIVATE PRACTICE-

MARIN RICHARDSON, SUZANNE

250 BEL MARIN KEYS BLVD, STE C5

NOVATO, CA 94949

Marriage and Family Therapist

CA License Number MFT50187

Other Languages

National Provider ID 1518025501

Accepting New Patients Yes. Referral may be required.

(415) 505-3094

Certification Number

SUZANNE RICHARDSON -PRIVATE PRACTIC

MARIN RICHEY, MARY

115 LIBERTY ST, STE 9

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number 39173

Other Languages

National Provider ID 1457424038

Accepting New Patients Yes. Referral may be required.

(707) 332-0992

Certification Number

MARY V RICHEY MFT

Page 146 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN RIOPELLE, ROBERT

275 MILLER AVE,

MILL VALLEY, CA 94941

Psychiatrist

CA License Number A21700

Other Languages

National Provider ID 1629155254

Accepting New Patients Yes. Referral may be required.

(415) 922-2028

Certification Number

ROBERT RIOPELLE -PRIVATE PRACTICE-

MARIN RIOPELLE, ROBERT

275 MILLER AVE

MILL VALLEY, CA 94941

Psychiatrist

CA License Number A21700

Other Languages

National Provider ID 1629155254

Accepting New Patients Yes. Referral may be required.

(415) 922-2028

Certification Number

ROBERT RIOPELLE -PRIVATE PRACTICE-

MARIN RIVERA-CARLISLE, IRMA

1036 SIR FRANCIS DRAKE BL,

KENTFIELD, CA 94904

Marriage and Family Therapist

CA License Number 45828

Other Languages

National Provider ID 1639385222

Accepting New Patients Yes. Referral may be required.

(415) 246-5051

Certification Number

IRMA RIVERA-CARLISLE -PRIVATE PRACTIC

MARIN RONDEAU, SUSAN

47 6TH ST, STE 201

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number 18561

Other Languages

National Provider ID 1245402650

Accepting New Patients Yes. Referral may be required.

(707) 763-7382

Certification Number

SUSAN RONDEAU -PRIVATE PRACTICE-

MARIN ROSALES-WYMAN, CAROLINA

2400 LAS GALLINAS AVE, STE 260A

SAN RAFAEL, CA 94903

Licensed Clinical Social Worker

CA License Number LCS22815

Other Languages SPANISH

National Provider ID 1881744654

Accepting New Patients Yes. Referral may be required.

(415) 342-3129

Certification Number

CAROLINA ROSALES-WYMAN -PRIVATE PRA

MARIN ROSENBERG, DORIE

710 C ST, STE 7C

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFC30941

Other Languages

National Provider ID 1447310263

Accepting New Patients Yes. Referral may be required.

(415) 492-9850

Certification Number

DORIE ROSENBERG -PRIVATE PRACTICE-

Page 147 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN RUMNEY, AVIS

21 TAMAL VISTA BLVD, STE 255

CORTE MADERA, CA 94925

Marriage and Family Therapist

CA License Number 18039

Other Languages

National Provider ID 1578673711

Accepting New Patients Yes. Referral may be required.

(415) 924-2100

Certification Number

AVIS RUMNEY LMFT

MARIN RUSSELL, COLLEEN

1036 SIR FRANCIS DRAKE BL

KENTFIELD, CA 94904

Marriage and Family Therapist

CA License Number LMFT29249

Other Languages

National Provider ID 1396052916

Accepting New Patients Yes. Referral may be required.

(415) 785-3513

Certification Number

COLLEEN RUSSELL -PRIVATE PRACTICE-

MARIN SANTOS-MODESITT, WENDY

100 MARIN CENTER DR, APT 16

SAN RAFAEL, CA 94903

Psychologist

CA License Number PSY27242

Other Languages SPANISH

National Provider ID 1104087576

Accepting New Patients Yes. Referral may be required.

(415) 203-7637

Certification Number

WENDY SANTOS-MODESITT -PRIVATE PRAC

MARIN SATTLER, SUSAN

47 6TH ST, STE 107

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number 23173

Other Languages

National Provider ID 1851542443

Accepting New Patients Yes. Referral may be required.

(707) 763-5326

Certification Number

SUSAN E SATTLER MFT

MARIN SAYER, TRUTH

820 5TH AVE, STE C

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number 41178

Other Languages AMERICAN SIGN LANGUAGE CHINESE

National Provider ID 1447329271

Accepting New Patients Yes. Referral may be required.

(415) 686-1193

Certification Number

TRUTH SAYER -PRIVATE PRACTICE-

Page 148 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN SCHICK, JOHN

3030 BRIDGEWAY, STE 107

SAUSALITO, CA 94965

Psychologist

CA License Number 15510

Other Languages

National Provider ID 1881838423

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOHN SCHICK -PRIVATE PRACTICE-

MARIN SCHINDLER, SANDY

1350 S ELISEO DR, STE 200

GREENBRAE, CA 94904

Licensed Clinical Social Worker

CA License Number LCS12070

Other Languages SPANISH

National Provider ID 1598832628

Accepting New Patients Yes. Referral may be required.

(415) 925-5020

Certification Number

SANDY SCHINDLER -PRIVATE PRACTICE-

MARIN SCHMIDT, TRACY

1346 4TH ST, STE 205

SAN RAFAEL, CA 94901

Psychologist

CA License Number 14438

Other Languages

National Provider ID 1275887903

Accepting New Patients Yes. Referral may be required.

(415) 995-2327

Certification Number

TRACY SCHMIDT -PRIVATE PRACTICE-

MARIN SCHWARTZ, ROSLYN

300 PROFESSIONAL CENTER D, STE 322

NOVATO, CA 94947

Marriage and Family Therapist

CA License Number LMFT14924

Other Languages

National Provider ID 1902026511

Accepting New Patients Yes. Referral may be required.

(415) 892-0764

Certification Number

MARIN FAMILY THERAPY CENTER

MARIN SEVERIN, ANCA

45 CAMINO ALTO, STE 203

MILL VALLEY, CA 94941

Marriage and Family Therapist

CA License Number 81809

Other Languages FRENCH

National Provider ID 1245467034

Accepting New Patients Yes. Referral may be required.

(415) 407-5115

Certification Number

ANCA SEVERIN -PRIVATE PRACTICE-

MARIN SHEIN, ANNE

47 DE SILVA ISLAND DR,

MILL VALLEY, CA 94941

Marriage and Family Therapist

CA License Number 36909

Other Languages

National Provider ID 1497884548

Accepting New Patients Yes. Referral may be required.

(415) 419-7807

Certification Number

ANNE SHEIN -PRIVATE PRACTICE-

Page 149 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN SIEVERS, DARIA

610 D ST, SUITE C

SAN RAFAEL, CA 94901

Licensed Clinical Social Worker

CA License Number 10253

Other Languages

National Provider ID 1407291859

Accepting New Patients Yes. Referral may be required.

(415) 302-9130

Certification Number

DARIA SIEVERS -PRIVATE PRACTICE-

MARIN SINGH, INDROJIT

240 TAMAL VISTA BLVD, STE 180

CORTE MADERA, CA 94925

Psychologist

CA License Number PSY9925

Other Languages

National Provider ID 1891998449

Accepting New Patients Yes. Referral may be required.

(415) 924-7644

Certification Number

INDROJIT SINGH -PRIVATE PRACTICE-

MARIN SMAIL, RAYA

1106 GRAND AVE,

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFC34353

Other Languages RUSSIAN HEBREW

National Provider ID 1477566115

Accepting New Patients Yes. Referral may be required.

(415) 831-4339

Certification Number

RAYA SMAIL -PRIVATE PRACTICE-

MARIN SOMMER, JOAN

1683 NOVATO BLVD, #1B

NOVATO, CA 94947

Psychologist

CA License Number PSY14833

Other Languages

National Provider ID 1215038153

Accepting New Patients Yes. Referral may be required.

(415) 482-1122

Certification Number

JOAN SOMMER -PRIVATE PRACTICE-

MARIN SOMMER, JOAN

1330 LINCOLN AVE, STE 309

SAN RAFAEL, CA 94901

Psychologist

CA License Number PSY14833

Other Languages

National Provider ID 1215038153

Accepting New Patients Yes. Referral may be required.

(415) 482-1122

Certification Number

JOAN SOMMER -PRIVATE PRACTICE-

MARIN SPILSBURY, MARY

7 4TH ST, STE 34

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number 50574

Other Languages

National Provider ID 1760548887

Accepting New Patients Yes. Referral may be required.

(415) 342-9640

Certification Number

MARY SPILSBURY -PRIVATE PRACTICE-

Page 150 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN STADTNER, REBECCA

205 KELLER ST, STE 200

PETALUMA, CA 94952

Psychologist

CA License Number 22078

Other Languages

National Provider ID 1992929038

Accepting New Patients Yes. Referral may be required.

(707) 283-0048

Certification Number

REBECCA O STADTNER PHD

MARIN STOLZOFF, GARY

1036 SIR FRANCIS DRAKE BL, STE 200

KENTFIELD, CA 94904

Psychologist

CA License Number PSY00006841

Other Languages

National Provider ID 1477578516

Accepting New Patients Yes. Referral may be required.

(415) 921-8506

Certification Number

GARY STOLZOFF -PRIVATE PRACTICE-

MARIN STRACK, ANNETTE

318 WESTERN AVE,

PETALUMA, CA 94952

Psychologist

CA License Number PSY008452

Other Languages

National Provider ID 1003993239

Accepting New Patients Yes. Referral may be required.

(707) 762-6216

Certification Number

ANN STRACK PHD

MARIN STURMAN, VESNA

712 D ST, STE P

SAN RAFAEL, CA 94901

Psychologist

CA License Number PSY28290

Other Languages

National Provider ID 1497299812

Accepting New Patients Yes. Referral may be required.

(415) 342-7021

Certification Number

VESNA STURMAN -PRIVATE PRACTICE-

MARIN TORRES, DAVID

1099 D ST, STE E

SAN RAFAEL, CA 94901

Psychologist

CA License Number PSY7839

Other Languages

National Provider ID 1750421152

Accepting New Patients Yes. Referral may be required.

(415) 457-8600

Certification Number

DAVID TORRES -PRIVATE PRACTICE-

MARIN TRAHMS, NANCY

599 SIR FRANCIS DRAKE, STE 304

GREENBRAE, CA 94904

Psychiatrist

CA License Number 28110

Other Languages

National Provider ID 1740289149

Accepting New Patients Yes. Referral may be required.

(415) 461-9200

Certification Number

NANCY TRAHMS -PRIVATE PRACTICE-

Page 151 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN TUNIS, LAWRENCE

130 GREENFIELD AVE, STE A

SAN ANSELMO, CA 94960

Marriage and Family Therapist

CA License Number MFC47576

Other Languages

National Provider ID 1609938265

Accepting New Patients Yes. Referral may be required.

(415) 847-3677

Certification Number

LAWRENCE TUNIS -PRIVATE PRACTICE-

MARIN VON MIDDENDORF, KARINA

ONE HARBOR DR, STE 300

SAUSALITO, CA 94965

Marriage and Family Therapist

CA License Number 38189

Other Languages SPANISH

National Provider ID 1982679718

Accepting New Patients Yes. Referral may be required.

(415) 408-8801

Certification Number

KARINA VON MIDDENDORF -PRIVATE PRAC

MARIN WALLACH, DONALD

1330 LINCOLN AVE, STE 110B

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number LPCC577

Other Languages

National Provider ID 1902844244

Accepting New Patients Yes. Referral may be required.

(415) 339-7890

Certification Number

DONALD WALLACH -PRIVATE PRACTICE-

MARIN WALLACH, DONALD

222 WELLER ST, STE 205

PETALUMA, CA 94952

Marriage and Family Therapist

CA License Number LPCC577

Other Languages

National Provider ID 1902844244

Accepting New Patients Yes. Referral may be required.

(707) 583-2305

Certification Number

DONALD WALLACH -PRIVATE PRACTICE-

MARIN WALLACH, DONALD

1017 E ST, STE A

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number LPCC577

Other Languages

National Provider ID 1902844244

Accepting New Patients Yes. Referral may be required.

(415) 339-7890

Certification Number

DONALD WALLACH -PRIVATE PRACTICE-

MARIN WANNING, ESTHER

610 D ST

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFC43427

Other Languages

National Provider ID 1285988949

Accepting New Patients Yes. Referral may be required.

(415) 717-9053

Certification Number

ESTHER WANNING -PRIVATE PRACTICE-

Page 152 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN WASKA, ROBERT

4340 REDWOOD HWY, F-103

SAN RAFAEL, CA 94903

Marriage and Family Therapist

CA License Number MFC00028161

Other Languages

National Provider ID 1699793869

Accepting New Patients Yes. Referral may be required.

(415) 883-4235

Certification Number

ROBERT WASKA -PRIVATE PRACTICE-

MARIN WEATHERFORD, VICKI

350 BON AIR RD, STE 200

GREENBRAE, CA 94904

Psychologist

CA License Number 10416

Other Languages

National Provider ID 1871703629

Accepting New Patients Yes. Referral may be required.

(415) 258-1723

Certification Number

VICKI WEATHERFORD -PRIVATE PRACTICE-

MARIN WEIGEL, ANNA

700 E ST, STE 203

SAN RAFAEL, CA 94901

Psychologist

CA License Number PSY18431

Other Languages

National Provider ID 1831147792

Accepting New Patients Yes. Referral may be required.

(415) 762-0737

Certification Number

ANNA WEIGEL -PRIVATE PRACTICE-

MARIN WEISZ, IGOR

3030 BRIDGEWAY, STE 107

SAUSALITO, CA 94965

Psychiatrist

CA License Number A53529

Other Languages GERMAN HUNGARIAN

National Provider ID 1417070822

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

IGOR WEISZ -PRIVATE PRACTICE-

MARIN WESTON-THOMPSON, JUDITH

700 E ST, STE 205

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number MFC23268

Other Languages SPANISH

National Provider ID 1982743795

Accepting New Patients Yes. Referral may be required.

(415) 457-3800

Certification Number

JUDITH WESTON-THOMPSON -PRIVATE PRA

MARIN WILLIAMS, TRACY

1924 4TH ST,

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number 90892

Other Languages

National Provider ID 1447444195

Accepting New Patients Yes. Referral may be required.

(415) 373-0848

Certification Number

TRACY WILLIAMS -PRIVATE PRACTICE-

Page 153 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

MARIN WILLIAMS, TRACY

610 D ST,

SAN RAFAEL, CA 94901

Marriage and Family Therapist

CA License Number 90892

Other Languages

National Provider ID 1447444195

Accepting New Patients Yes. Referral may be required.

(415) 373-0848

Certification Number

TRACY WILLIAMS -PRIVATE PRACTICE-

MARIN YARDLEY, PATRICIA

6 PETALUMA BLVD NORTH, STE B4

PETALUMA, CA 94952

Licensed Clinical Social Worker

CA License Number LCS18125

Other Languages

National Provider ID 1124171186

Accepting New Patients Yes. Referral may be required.

(707) 322-8528

Certification Number

PATRICIA YARDLEY -PRIVATE PRACTICE-

NAPA ALDAVA, JOHN

575 LINCOLN AVE, STE 350

NAPA, CA 94558

Psychologist

CA License Number 16884

Other Languages

National Provider ID 1134271943

Accepting New Patients Yes. Referral may be required.

(916) 609-5100

Certification Number

JOHN ALDAVA -PRIVATE PRACTICE-

NAPA ANDERSON, BRUCE

913 WASHINGTON ST,

CALISTOGA, CA 94515

Psychiatrist

CA License Number A21633

Other Languages

National Provider ID 1942276324

Accepting New Patients Yes. Referral may be required.

(707) 942-0844

Certification Number

BRUCE ANDERSON -PRIVATE PRACTICE-

NAPA BENATOVICH, LYNNE

1420 3RD ST, STE 4

NAPA, CA 94559

Licensed Clinical Social Worker

CA License Number LCS72028

Other Languages

National Provider ID 1114462918

Accepting New Patients Yes. Referral may be required.

(707) 998-8988

Certification Number

LYNNE BENATOVICH -PRIVATE PRACTICE-

NAPA CAIN, JANET

935 TRANCAS ST, STE 1B

NAPA, CA 94558

Psychologist

CA License Number PSY14516

Other Languages SPANISH

National Provider ID 1548272404

Accepting New Patients Yes. Referral may be required.

(707) 255-6115

Certification Number

JANET CAIN -PRIVATE PRACTICE-

Page 154 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

NAPA FOX, VALERIE

553 JEFFERSON ST,

NAPA, CA 94559

Psychologist

CA License Number PSY00005737

Other Languages

National Provider ID 1730242751

Accepting New Patients Yes. Referral may be required.

(707) 257-2720

Certification Number

VALERIE S FOX EDD

NAPA GILBERT, JO

1303 JEFFERSON ST, STE 600A

NAPA, CA 94559

Psychologist

CA License Number PSY7471

Other Languages

National Provider ID 1033167853

Accepting New Patients Yes. Referral may be required.

(707) 224-2893

Certification Number

JO GILBERT -PRIVATE PRACTICE-

NAPA GLEN, BARRIE

1303 JEFFERSON ST, STE 600A

NAPA, CA 94559

Psychologist

CA License Number PSY14323

Other Languages

National Provider ID 1336233709

Accepting New Patients Yes. Referral may be required.

(707) 254-1879

Certification Number

BARRIE GLEN -PRIVATE PRACTICE-

NAPA HEYING, ROBERT

1220 LAUREL ST,

NAPA, CA 94558

Psychologist

CA License Number 4536

Other Languages

National Provider ID 1053325290

Accepting New Patients Yes. Referral may be required.

(707) 255-6656

Certification Number

ROBERT H HEYING PHD

NAPA HUDSON, CHARLES

913 WASHINGTON ST,

CALISTOGA, CA 94515

Psychiatrist

CA License Number C34859

Other Languages

National Provider ID 1679549281

Accepting New Patients Yes. Referral may be required.

(707) 942-0844

Certification Number

CHARLES HUDSON -PRIVATE PRACTICE-

NAPA HUDSON, CHARLES

913 WASHINGTON ST, STE 201

CALISTOGA, CA 94515

Psychiatrist

CA License Number C34859

Other Languages

National Provider ID 1679549281

Accepting New Patients Yes. Referral may be required.

(707) 942-0844

Certification Number

CHARLES HUDSON -PRIVATE PRACTICE-

Page 155 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

NAPA KILLEN, BRUCE

832 SCHOOL ST,

NAPA, CA 94559

Marriage and Family Therapist

CA License Number 33278

Other Languages SPANISH

National Provider ID 1801931290

Accepting New Patients Yes. Referral may be required.

(415) 602-4320

Certification Number

BRUCE KILLEN -PRIVATE PRACTICE-

NAPA MARTZ, JEFFREY

1420 3RD ST, STE 8

NAPA, CA 94559

Marriage and Family Therapist

CA License Number MFC37562

Other Languages SPANISH

National Provider ID 1457424418

Accepting New Patients Yes. Referral may be required.

(707) 338-2399

Certification Number

JEFFREY MARTZ -PRIVATE PRACTICE-

NAPA PICK, DORIS

553 JEFFERSON ST,

NAPA, CA 94559

Psychologist

CA License Number PSY4830

Other Languages

National Provider ID 1972664696

Accepting New Patients Yes. Referral may be required.

(707) 257-2720

Certification Number

FOX PICK AND ASSOCIATES

NAPA SAX, LORI

1420 3RD ST, STE 11

NAPA, CA 94559

Licensed Clinical Social Worker

CA License Number 14505

Other Languages

National Provider ID 1598879645

Accepting New Patients Yes. Referral may be required.

(707) 257-6678

Certification Number

LORI SAX -PRIVATE PRACTICE-

NAPA SEATON, HOLLY

1434 3RD ST, STE 2E

NAPA, CA 94559

Marriage and Family Therapist

CA License Number RN216289

Other Languages

National Provider ID 1821200866

Accepting New Patients Yes. Referral may be required.

(707) 939-3623

Certification Number

HOLLY SEATON PHD

NAPA SEIDEL, JOANIE

1420 3RD ST

NAPA, CA 94559

Marriage and Family Therapist

CA License Number MFC33059

Other Languages

National Provider ID 1902813082

Accepting New Patients Yes. Referral may be required.

(707) 253-7513

Certification Number

JOANIE SEIDEL MFT

Page 156 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

NAPA SEIDEL, JOANIE

4601 DRY CREEK RD

NAPA, CA 94558

Marriage and Family Therapist

CA License Number MFC33059

Other Languages

National Provider ID 1902813082

Accepting New Patients Yes. Referral may be required.

(707) 253-7513

Certification Number

JOANIE SEIDEL -PRIVATE PRACTICE-

NAPA SEVERIN, ANCA

1420 3RD ST, STE 8

NAPA, CA 94559

Marriage and Family Therapist

CA License Number 81809

Other Languages FRENCH

National Provider ID 1245467034

Accepting New Patients Yes. Referral may be required.

(415) 407-5115

Certification Number

ANCA SEVERIN -PRIVATE PRACTICE-

NAPA WEBER, LINDA

68 COOMBS ST, STE A-6

NAPA, CA 94559

Marriage and Family Therapist

CA License Number 21970

Other Languages

National Provider ID 1275646184

Accepting New Patients Yes. Referral may be required.

(707) 480-7008

Certification Number

LINDA WEBER MFT

NAPA WEBER, LINDA

999 ADAMS ST, STE 300

SAINT HELENA, CA 94574

Marriage and Family Therapist

CA License Number 21970

Other Languages

National Provider ID 1275646184

Accepting New Patients Yes. Referral may be required.

(707) 480-7008

Certification Number

LINDA WEBER -PRIVATE PRACTICE-

NAPA WILLIAMS, LIZ

575 LINCOLN AVE, STE 300C

NAPA, CA 94558

Licensed Clinical Social Worker

CA License Number LCS11205

Other Languages

National Provider ID 1457432668

Accepting New Patients Yes. Referral may be required.

(707) 224-5225

Certification Number

LIZ WILLIAMS

NAPA YACOE, JONI

832 SCHOOL ST,

NAPA, CA 94559

Marriage and Family Therapist

CA License Number MFC14838

Other Languages

National Provider ID 1720159734

Accepting New Patients Yes. Referral may be required.

(707) 287-0367

Certification Number

YACOE & KIIMM

Page 157 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER ADORADOR, JEFFREY

508 GIBSON DR, STE 150

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFT80129

Other Languages

National Provider ID 1851708192

Accepting New Patients Yes. Referral may be required.

(916) 865-3670

Certification Number

JEFFREY ADORADOR -PRIVATE PRACTICE-

PLACER AHRONS, STACEY

550 W RANCH VIEW DR, STE 3000

ROCKLIN, CA 95765

Psychologist

CA License Number PSY11964

Other Languages

National Provider ID 1245319649

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

MERCY MEDICAL GROUP

PLACER ANDERSON, GLENN

970 RESERVE DR

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC84277

Other Languages

National Provider ID 1770672362

Accepting New Patients Yes. Referral may be required.

(916) 780-1070

Certification Number

GLENN ANDERSON -PRIVATE PRACTICE-

PLACER ANKENEY, LINDA

1380 LEAD HILL BLVD, STE 160

ROSEVILLE, CA 95661

Marriage and Family Therapist

CA License Number 48267

Other Languages

National Provider ID 1316080807

Accepting New Patients Yes. Referral may be required.

(916) 899-2818

Certification Number

LINDA ANKENEY -PRIVATE PRACTICE-

PLACER BADER, CHRISTIN

970 RESERVE DR, STE 205

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFT86957

Other Languages

National Provider ID 1952603094

Accepting New Patients Yes. Referral may be required.

(916) 780-1070

Certification Number

CHRISTIN BADER -PRIVATE PRACTICE-

PLACER BARKER, VICKI

735 SUNRISE BLVD, STE 130

ROSEVILLE, CA 95661

Marriage and Family Therapist

CA License Number 87256

Other Languages

National Provider ID 1538542477

Accepting New Patients Yes. Referral may be required.

(916) 316-1254

Certification Number

VICKI BARKER -PRIVATE PRACTICE-

Page 158 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER BERMAN, MARVIN

775 SUNRISE AVE, STE 120

ROSEVILLE, CA 95661

Psychologist

CA License Number 17099

Other Languages

National Provider ID 1104999556

Accepting New Patients Yes. Referral may be required.

(916) 554-0664

Certification Number

MARVIN BERMAN -PRIVATE PRACTICE-

PLACER BINUS, DANIEL

13300 NEW AIRPORT RD, STE 103

AUBURN, CA 95602

Psychiatrist

CA License Number A100710

Other Languages GERMAN SPANISH

National Provider ID 1205045028

Accepting New Patients Yes. Referral may be required.

(530) 889-8780

Certification Number

DANIEL BINUS -PRIVATE PRACTICE-

PLACER BINUS, DANIEL

13300 NEW AIRPORT RD, STE 100

AUBURN, CA 95602

Psychiatrist

CA License Number A100710

Other Languages GERMAN SPANISH

National Provider ID 1205045028

Accepting New Patients Yes. Referral may be required.

(530) 889-8780

Certification Number

DANIEL BINUS -PRIVATE PRACTICE-

PLACER BIRD, SHAUNA

550 W RANCH VIEW DR, STE 350

ROCKLIN, CA 95765

Licensed Clinical Social Worker

CA License Number LCS27770

Other Languages

National Provider ID 1366622862

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

SHAUNA BIRD -PRIVATE PRACTICE-

PLACER BLOOM, NANCY

135 COURT ST

AUBURN, CA 95603

Licensed Clinical Social Worker

CA License Number LCS13857

Other Languages

National Provider ID 1285690180

Accepting New Patients Yes. Referral may be required.

(530) 888-8975

Certification Number

NANCY BLOOM -PRIVATE PRACTICE-

PLACER BLUEMEL, PHILIP

3300 DOUGLAS BLVD, STE 240

ROSEVILLE, CA 95661

Marriage and Family Therapist

CA License Number 16175

Other Languages

National Provider ID 1356362867

Accepting New Patients Yes. Referral may be required.

(918) 787-0555

Certification Number

PHILIP BLUEMEL -PRIVATE PRACTICE-

Page 159 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER BOHNEL, ERICKA

508 GIBSON DR

ROSEVILLE, CA 95678

Psychologist

CA License Number PSY28671

Other Languages

National Provider ID 1356549554

Accepting New Patients Yes. Referral may be required.

(916) 865-3670

Certification Number

ERICKA BOHNEL -PRIVATE PRACTICE-

PLACER BONILLA JACOME, CAROLINA

1731 E ROSEVILLE PKWY, STE 290

ROSEVILLE, CA 95661

Psychiatrist

CA License Number 104077

Other Languages SPANISH

National Provider ID 1619169984

Accepting New Patients Yes. Referral may be required.

(415) 671-6819

Certification Number

CAROLINA BONILLA JACOME -PRIVATE PRA

PLACER BORDEN, ERLENE

6520 LONETREE BLVD,

ROCKLIN, CA 95765

Marriage and Family Therapist

CA License Number 45974

Other Languages

National Provider ID 1821148040

Accepting New Patients Yes. Referral may be required.

(916) 878-1900

Certification Number

ERLENE BORDEN -PRIVATE PRACTICE-

PLACER BORJA, ERLINDA

300 HARDING BLVD, STE 109

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC39245

Other Languages SPANISH

National Provider ID 1376560219

Accepting New Patients Yes. Referral may be required.

(916) 771-8442

Certification Number

LINDA BORJA MFT

PLACER BRABECK, INEZ

970 RESERVE DR, STE 205

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC32827

Other Languages

National Provider ID 1881894616

Accepting New Patients Yes. Referral may be required.

(916) 780-1070

Certification Number

INEZ BRABECK -PRIVATE PRACTICE-

PLACER BRUINSMA, ARLENE

901 SUNRISE AVE, STE A16

ROSEVILLE, CA 95661

Professional Clinical Counselor

CA License Number NP186496

Other Languages

National Provider ID 1558429555

Accepting New Patients Yes. Referral may be required.

(916) 607-7888

Certification Number

ARLENE BRUINSMA RN MSN CNS

Page 160 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER CARLYLE, DIANA

148 MAPLE ST, STE C1

AUBURN, CA 95603

Marriage and Family Therapist

CA License Number 44048

Other Languages

National Provider ID 1396863775

Accepting New Patients Yes. Referral may be required.

(530) 308-5806

Certification Number

DIANA CARLYLE -PRIVATE PRACTICE-

PLACER CASSELMAN, LORI

6520 LONETREE BLVD, STE 126

ROCKLIN, CA 95765

Licensed Clinical Social Worker

CA License Number 22102

Other Languages

National Provider ID 1962639120

Accepting New Patients Yes. Referral may be required.

(916) 850-9677

Certification Number

LORI CASSELMAN -PRIVATE PRACTICE-

PLACER CHANG, BEVERLY

1420 ROCKY RIDGE DR, STE 230

ROSEVILLE, CA 95661

Psychiatrist

CA License Number A118995

Other Languages

National Provider ID 1063716009

Accepting New Patients Yes. Referral may be required.

(916) 783-9697

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

PLACER CLARK, JANIS

730 ABERDEEN LN,

LINCOLN, CA 95648

Marriage and Family Therapist

CA License Number LMFT20669

Other Languages

National Provider ID 1376678441

Accepting New Patients Yes. Referral may be required.

(831) 917-3766

Certification Number

JANIS CLARK -PRIVATE PRACTICE-

PLACER CLARK, KINA

1380 LEAD HILL BLVD, STE 110

ROSEVILLE, CA 95661

Psychologist

CA License Number PSY16066

Other Languages

National Provider ID 1326061813

Accepting New Patients Yes. Referral may be required.

(916) 726-4030

Certification Number

KINA CLARK PHD

PLACER CONLEY, CHARLENE

1212 HIGH ST,

AUBURN, CA 95603

Licensed Clinical Social Worker

CA License Number 12607

Other Languages

National Provider ID 1881603678

Accepting New Patients Yes. Referral may be required.

(530) 889-1476

Certification Number

CHARLENE CONLEY LCSW

Page 161 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER DIEFENBACHER, NADINE

508 GIBSON DR, STE 150

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC40381

Other Languages

National Provider ID 1215353792

Accepting New Patients Yes. Referral may be required.

(916) 865-3670

Certification Number

NADINE DIEFENBACHER -PRIVATE PRACTIC

PLACER DIGIADOMO, KINDRA

775 SUNRISE AVE, STE 110

ROSEVILLE, CA 95661

Marriage and Family Therapist

CA License Number MFC93361

Other Languages

National Provider ID 1770986390

Accepting New Patients Yes. Referral may be required.

(916) 600-9740

Certification Number

KINDRA DIGIADOMO -PRIVATE PRACTICE-

PLACER DOUDEN, SHERRY

263 NEVADA ST

AUBURN, CA 95603

Marriage and Family Therapist

CA License Number MFC42531

Other Languages SPANISH

National Provider ID 1477782225

Accepting New Patients Yes. Referral may be required.

(530) 887-1300

Certification Number

SHERRY DOUDEN -PRIVATE PRACTICE-

PLACER ELKINS, TICE

729 SUNRISE AVE, STE 101

ROSEVILLE, CA 95661

Licensed Clinical Social Worker

CA License Number LCS4084

Other Languages

National Provider ID 1346272580

Accepting New Patients Yes. Referral may be required.

(916) 782-3388

Certification Number

TICE ELKINS -PRIVATE PRACTICE-

PLACER ELLIS, AMY

1731 E ROSEVILLE PKWY, STE 290

ROSEVILLE, CA 95661

Psychiatrist

CA License Number C141678

Other Languages

National Provider ID 1275737835

Accepting New Patients Yes. Referral may be required.

(415) 671-6819

Certification Number

AMY ELLIS -PRIVATE PRACTICE-

PLACER ELLIS, LORRAINE

2330 PROFESSIONAL DR, STE 100F

ROSEVILLE, CA 95661

Marriage and Family Therapist

CA License Number LMFT40970

Other Languages

National Provider ID 1528231180

Accepting New Patients Yes. Referral may be required.

(916) 780-1144

Certification Number

LORRAINE ELLIS -PRIVATE PRACTICE-

Page 162 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER FARIDNIA, REGINA

420 FOLSOM RD, STE D

ROSEVILLE, CA 95678

Licensed Clinical Social Worker

CA License Number LCS26712

Other Languages

National Provider ID 1023318045

Accepting New Patients Yes. Referral may be required.

(480) 460-5030

Certification Number

REGINA FARIDNIA -PRIVATE PRACTICE-

PLACER FEALK, EUGENE

1420 ROCKY RIDGE DR, STE 230

ROSEVILLE, CA 95661

Psychiatrist

CA License Number 6182

Other Languages

National Provider ID 1437267689

Accepting New Patients Yes. Referral may be required.

(916) 783-9697

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

PLACER FLORATOS, TERESA

3175 SUNSET BLVD, STE 104A

ROCKLIN, CA 95677

Marriage and Family Therapist

CA License Number 45029

Other Languages

National Provider ID 1760515605

Accepting New Patients Yes. Referral may be required.

(916) 289-1190

Certification Number

TERESA FLORATOS -PRIVATE PRACTICE-

PLACER GALE, DARLA

6135 KING RD, STE D

LOOMIS, CA 95650

Marriage and Family Therapist

CA License Number 92413

Other Languages

National Provider ID 1134573108

Accepting New Patients Yes. Referral may be required.

(916) 397-9039

Certification Number

DARLA GALE -PRIVATE PRACTICE-

PLACER GAUTHIER, LAURA

1230 HIGH ST, STE 120A

AUBURN, CA 95603

Licensed Clinical Social Worker

CA License Number 22092

Other Languages

National Provider ID 1023044310

Accepting New Patients Yes. Referral may be required.

(530) 887-1637

Certification Number

LAURA GAUTHIER -PRIVATE PRACTICE-

PLACER GEMULLA, TRISHA

9220 MUIR WAY

GRANITE BAY, CA 95746

Marriage and Family Therapist

CA License Number MFT48197

Other Languages

National Provider ID 1972635431

Accepting New Patients Yes. Referral may be required.

(916) 305-5659

Certification Number

TRISHA GEMULLA -PRIVATE PRACTICE-

Page 163 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER GILCHRIST, RANDY

1899 E ROSEVILLE PKWY, STE 100

ROSEVILLE, CA 95661

Psychologist

CA License Number PSY19726

Other Languages

National Provider ID 1427273507

Accepting New Patients Yes. Referral may be required.

(916) 899-4990

Certification Number

RANDY GILCHRIST -PRIVATE PRACTICE-

PLACER GREEN, AMY

6520 LONETREE BLVD, STE 142

ROCKLIN, CA 95765

Marriage and Family Therapist

CA License Number MFC49114

Other Languages

National Provider ID 1407981772

Accepting New Patients Yes. Referral may be required.

(916) 878-1900

Certification Number

SUNSET COUNSELING CENTER

PLACER GREENHILL, ALISA

145 TIERRA WAY,

AUBURN, CA 95603

Marriage and Family Therapist

CA License Number MFC20536

Other Languages

National Provider ID 1689681058

Accepting New Patients Yes. Referral may be required.

(530) 885-6164

Certification Number

ALISA GREENHILL -PRIVATE PRACTICE-

PLACER HAMMON, LISA

508 GIBSON DR

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC66379

Other Languages

National Provider ID 1285709048

Accepting New Patients Yes. Referral may be required.

(916) 865-3670

Certification Number

LISA HAMMON -PRIVATE PRACTICE-

PLACER HORN, LISA

3175 SUNSET BLVD, STE 107

ROCKLIN, CA 95677

Licensed Clinical Social Worker

CA License Number 32015

Other Languages

National Provider ID 1619039229

Accepting New Patients Yes. Referral may be required.

(916) 521-6259

Certification Number

LISA HORN -PRIVATE PRACTICE-

PLACER HORROCKS, AMANDA

970 RESERVE DR, STE 205

ROSEVILLE, CA 95678

Professional Clinical Counselor

CA License Number NP615996

Other Languages

National Provider ID 1326353657

Accepting New Patients Yes. Referral may be required.

(916) 780-1070

Certification Number

AMANDA HORROCKS -PRIVATE PRACTICE-

Page 164 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER HUPP, GARY

735 SUNRISE AVE, STE 130

ROSEVILLE, CA 95661

Licensed Clinical Social Worker

CA License Number LE10424

Other Languages

National Provider ID 1700938768

Accepting New Patients Yes. Referral may be required.

(916) 784-1771

Certification Number

GARY HUPP PHD LCSW

PLACER IBENTHAL, CHARLES

620 3RD ST, STE 100A

LINCOLN, CA 95648

Marriage and Family Therapist

CA License Number 42352

Other Languages

National Provider ID 1174639330

Accepting New Patients Yes. Referral may be required.

(916) 745-5815

Certification Number

CHARLES IBENTHAL -PRIVATE PRACTICE-

PLACER JACQUES, TESSA

263 NEVADA ST

AUBURN, CA 95603

Marriage and Family Therapist

CA License Number MFT77706

Other Languages

National Provider ID 1427460583

Accepting New Patients Yes. Referral may be required.

(530) 887-1300

Certification Number

INSIGHTS COUNSELING GROUP

PLACER JOHNSON, HEATHER

6520 LONETREE BLVD, STE 142

ROCKLIN, CA 95765

Marriage and Family Therapist

CA License Number 43305

Other Languages

National Provider ID 1922017334

Accepting New Patients Yes. Referral may be required.

(916) 878-1900

Certification Number

SUNSET COUNSELING CENTER

PLACER JOHNSON, SUSAN

720 SUNRISE AVE, STE 115D

ROSEVILLE, CA 95661

Marriage and Family Therapist

CA License Number MFC36678

Other Languages SPANISH

National Provider ID 1104844737

Accepting New Patients Yes. Referral may be required.

(530) 210-9349

Certification Number

SUSAN JOHNSON -PRIVATE PRACTICE-

PLACER JONES, HEATHER

970 RESERVE DR

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC51748

Other Languages

National Provider ID 1861526881

Accepting New Patients Yes. Referral may be required.

(916) 780-1070

Certification Number

HEATHER JONES -PRIVATE PRACTICE-

Page 165 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER JONES, KENNETH

508 GIBSON DR, STE 150

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC22991

Other Languages

National Provider ID 1790817781

Accepting New Patients Yes. Referral may be required.

(916) 865-3670

Certification Number

KENNETH JONES -PRIVATE PRACTICE-

PLACER KESLER, PAMELA

152 MAPLE ST, STE C

AUBURN, CA 95603

Marriage and Family Therapist

CA License Number MFC37603

Other Languages

National Provider ID 1114036753

Accepting New Patients Yes. Referral may be required.

(530) 888-7958

Certification Number

PAMELA KESLER -PRIVATE PRACTICE-

PLACER LAIDLAW, LORNA

1380 LEAD HILL BLVD, STE 160

ROSEVILLE, CA 95661

Marriage and Family Therapist

CA License Number MFC28078

Other Languages

National Provider ID 1689706624

Accepting New Patients Yes. Referral may be required.

(916) 847-1443

Certification Number

LORNA LAIDLAW -PRIVATE PRACTICE-

PLACER LAIDLAW, MICHAEL

1380 LEAD HILL BLVD, STE 160

ROSEVILLE, CA 95661

Marriage and Family Therapist

CA License Number MFC43276

Other Languages

National Provider ID 1366576712

Accepting New Patients Yes. Referral may be required.

(916) 521-7379

Certification Number

MICHAEL LAIDLAW -PRIVATE PRACTICE-

PLACER LINDER, DAVID

970 RESERVE DR, STE 205

ROSEVILLE, CA 95678

Psychiatrist

CA License Number A053024

Other Languages

National Provider ID 1295890333

Accepting New Patients Yes. Referral may be required.

(916) 780-1070

Certification Number

DAVID LINDER -PRIVATE PRACTICE-

PLACER LINDER, RENAE

970 RESERVE DR, STE 205

ROSEVILLE, CA 95678

Licensed Clinical Social Worker

CA License Number LCS18464

Other Languages

National Provider ID 1164588505

Accepting New Patients Yes. Referral may be required.

(916) 780-1070

Certification Number

RENAE LINDER -PRIVATE PRACTICE-

Page 166 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER LIPON, RICHARD

1731 E ROSEVILLE PKWY, STE 290

ROSEVILLE, CA 95661

Psychiatrist

CA License Number A30631

Other Languages

National Provider ID 1639305980

Accepting New Patients Yes. Referral may be required.

(844) 867-8444

Certification Number

RICHARD LIPON -PRIVATE PRACTICE-

PLACER LUCERO, CARA

2330 PROFESSIONAL DR, STE 100

ROSEVILLE, CA 95661

Licensed Clinical Social Worker

CA License Number LCS19781

Other Languages

National Provider ID 1245391218

Accepting New Patients Yes. Referral may be required.

(916) 600-0664

Certification Number

CARA LUCERO

PLACER MADER, LOTHAR

2130 PROFESSIONAL DR, STE 240

ROSEVILLE, CA 95661

Psychologist

CA License Number 8474

Other Languages GERMAN

National Provider ID 1063400422

Accepting New Patients Yes. Referral may be required.

(916) 782-2100

Certification Number

LOTHAR MADER -PRIVATE PRACTICE-

PLACER MAGANA, ARTHUR

508 GIBSON DR, STE 150

ROSEVILLE, CA 95678

Psychologist

CA License Number 18143

Other Languages SPANISH

National Provider ID 1811152861

Accepting New Patients Yes. Referral may be required.

(916) 865-3670

Certification Number

ARTHUR MAGANA -PRIVATE PRACTICE-

PLACER MAGANA, ARTHUR

970 RESERVE DR, STE 205

ROSEVILLE, CA 95678

Psychologist

CA License Number 18143

Other Languages SPANISH

National Provider ID 1811152861

Accepting New Patients Yes. Referral may be required.

(916) 780-1070

Certification Number

ARTHUR MAGANA -PRIVATE PRACTICE-

PLACER MALLY, MARIKO

112 DOUGLAS BLVD,

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC37252

Other Languages

National Provider ID 1609908417

Accepting New Patients Yes. Referral may be required.

(916) 715-9894

Certification Number

MARIKO MALLY -PRIVATE PRACTICE-

Page 167 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER MANKOWSKI, REBECCA

508 GIBSON DR

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC90266

Other Languages

National Provider ID 1023481660

Accepting New Patients Yes. Referral may be required.

(916) 865-3670

Certification Number

REBECCA MANKOWSKI -PRIVATE PRACTICE

PLACER MARSHALL, TONI

1133 HIGH ST, STE A

AUBURN, CA 95603

Licensed Clinical Social Worker

CA License Number 14866

Other Languages

National Provider ID 1043336753

Accepting New Patients Yes. Referral may be required.

(530) 823-3707

Certification Number

TONI MARSHALL -PRIVATE PRACTICE-

PLACER MCCLUSKEY, GAVIN

508 GIBSON DR

ROSEVILLE, CA 95678

Licensed Clinical Social Worker

CA License Number LCS14871

Other Languages

National Provider ID 1083015457

Accepting New Patients Yes. Referral may be required.

(916) 865-3670

Certification Number

GAVIN MCCLUSKEY -PRIVATE PRACTICE-

PLACER MCGURK, MOLLY

620 3RD ST, STE 100

LINCOLN, CA 95648

Licensed Clinical Social Worker

CA License Number LCSW29332

Other Languages

National Provider ID 1588770705

Accepting New Patients Yes. Referral may be required.

(916) 494-3164

Certification Number

MOLLY MCGURK -PRIVATE PRACTICE-

PLACER MCNALLY, LAURI

11071 CABALLO CIRCLE,

AUBURN, CA 95603

Marriage and Family Therapist

CA License Number MFC37578

Other Languages

National Provider ID 1629353644

Accepting New Patients Yes. Referral may be required.

(530) 368-7490

Certification Number

LAURI MCNALLY -PRIVATE PRACTICE-

PLACER MCPHERSON, MARCH

6520 LONETREE BLVD, STE 142

ROCKLIN, CA 95765

Marriage and Family Therapist

CA License Number 39358

Other Languages

National Provider ID 1134236540

Accepting New Patients Yes. Referral may be required.

(916) 878-1900

Certification Number

SUNSET COUNSELING CENTER

Page 168 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER MCVICKER, WILLIAM

13620 LINCOLN WAY, STE 340

AUBURN, CA 95603

Marriage and Family Therapist

CA License Number MFC50728

Other Languages

National Provider ID 1467720474

Accepting New Patients Yes. Referral may be required.

(530) 273-1112

Certification Number

WILLIAM MCVICKER -PRIVATE PRACTICE-

PLACER MCVICKER, WILLIAM

13620 LINCOLN WAY, STE 340

AUBURN, CA 95603

Marriage and Family Therapist

CA License Number 50728

Other Languages

National Provider ID 1467720474

Accepting New Patients Yes. Referral may be required.

(530) 273-1112

Certification Number

WILLIAM MCVICKER -PRIVATE PRACTICE-

PLACER OLMOS, KITTY

420 FOLSOM RD, STE A

ROSEVILLE, CA 95678

Licensed Clinical Social Worker

CA License Number LCS22384

Other Languages

National Provider ID 1861520835

Accepting New Patients Yes. Referral may be required.

(916) 300-8406

Certification Number

KITTY OLMOS -PRIVATE PRACTICE-

PLACER PACCINI, ANGELA

401 VERNON ST, STE B

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFT0022579

Other Languages DUTCH ARABIC SPANISH

National Provider ID 1376620062

Accepting New Patients Yes. Referral may be required.

(916) 772-7882

Certification Number

ANGELA PACCINI -PRIVATE PRACTICE-

PLACER PARKER, CHRISTAN

1528 EUREKA RD, STE 101

ROSEVILLE, CA 95661

Marriage and Family Therapist

CA License Number 40938

Other Languages

National Provider ID 1497779912

Accepting New Patients Yes. Referral may be required.

(916) 974-1344

Certification Number

CHRISTAN PARKER -PRIVATE PRACTICE-

PLACER PATERSON, MEGAN

300 HARDING BLVD, STE 109

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number 53371

Other Languages

National Provider ID 1457489569

Accepting New Patients Yes. Referral may be required.

(530) 830-9079

Certification Number

MEGAN PATERSON -PRIVATE PRACTICE-

Page 169 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER PFITZER, PAMELA

300 HARDING BLVD, STE 109

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC00016539

Other Languages

National Provider ID 1437261765

Accepting New Patients Yes. Referral may be required.

(916) 781-3402

Certification Number

PAMELA PFITZER MFT

PLACER PHILLIPS, JANET

6520 LONETREE BLVD, #110

ROCKLIN, CA 95765

Psychologist

CA License Number PSY22226

Other Languages

National Provider ID 1508001744

Accepting New Patients Yes. Referral may be required.

(916) 960-6045

Certification Number

JANET PHILLIPS -PRIVATE PRACTICE-

PLACER PORTER, JONATHON

1420 ROCKY RIDGE DR, STE 230

ROSEVILLE, CA 95661

Psychiatrist

CA License Number 12424

Other Languages

National Provider ID 1033461884

Accepting New Patients Yes. Referral may be required.

(916) 783-9697

Certification Number

JONATHON PORTER -PRIVATE PRACTICE-

PLACER POWERS, JOAN

5701 LONETREE BLVD, STE 216

ROCKLIN, CA 95765

Marriage and Family Therapist

CA License Number 30087

Other Languages

National Provider ID 1942217773

Accepting New Patients Yes. Referral may be required.

(916) 221-2027

Certification Number

JOAN POWERS -PRIVATE PRACTICE-

PLACER PRASAD, VEMIREDDI

3017 DOUGLAS BLVD, STE 300

ROSEVILLE, CA 95661

Psychiatrist

CA License Number A38801

Other Languages HINDI

National Provider ID 1598779126

Accepting New Patients Yes. Referral may be required.

(916) 797-7310

Certification Number

VEMIREDDI PRASAD -PRIVATE PRACTICE-

PLACER RAGSDALE-COFFMAN, LISA

1133 HIGH ST, STE F

AUBURN, CA 95603

Licensed Clinical Social Worker

CA License Number LCS17233

Other Languages

National Provider ID 1912108275

Accepting New Patients Yes. Referral may be required.

(530) 320-6779

Certification Number

LISA RAGSDALE COFFMAN LCSW

Page 170 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER RAMIREZ-MOYA, LORERKY

1420 ROCKY RIDGE DR, STE 230

ROSEVILLE, CA 95661

Psychiatrist

CA License Number A133842

Other Languages

National Provider ID 1902006984

Accepting New Patients Yes. Referral may be required.

(916) 783-9697

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

PLACER RATEKIN, REBECCA

16895 PLACER HILLS RD,

MEADOW VISTA, CA 95722

Marriage and Family Therapist

CA License Number 48007

Other Languages

National Provider ID 1720387772

Accepting New Patients Yes. Referral may be required.

(530) 906-6507

Certification Number

REBECCA RATEKIN -PRIVATE PRACTICE-

PLACER REINECKE, SONJA

970 RESERVE DR, STE 205

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFT87414

Other Languages

National Provider ID 1093190332

Accepting New Patients Yes. Referral may be required.

(916) 780-1070

Certification Number

SONJA REINECKE -PRIVATE PRACTICE-

PLACER ROMANO, BEVERLY

508 GIBSON DR, STE 150

ROSEVILLE, CA 95678

Psychologist

CA License Number 22268

Other Languages

National Provider ID 1023168150

Accepting New Patients Yes. Referral may be required.

(916) 865-3670

Certification Number

BEVERLY ROMANO -PRIVATE PRACTICE-

PLACER ROSENBERG, SPENCER

2130 PROFESSIONAL DR, STE 240

ROSEVILLE, CA 95661

Psychologist

CA License Number PSY7807

Other Languages

National Provider ID 1497780399

Accepting New Patients Yes. Referral may be required.

(916) 879-2641

Certification Number

SPENCER ROSENBERG -PRIVATE PRACTIC

PLACER SANDERS, DAVID

775 SUNRISE AVE, STE 140

ROSEVILLE, CA 95661

Psychologist

CA License Number PSY6300

Other Languages AFRICAN HINDI

National Provider ID 1225117302

Accepting New Patients Yes. Referral may be required.

(916) 784-1244

Certification Number

DAVID SANDERS -PRIVATE PRACTICE-

Page 171 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER SCHEPCOFF, AMY

805 DOUGLAS BLVD, STE 116

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC46707

Other Languages

National Provider ID 1518033208

Accepting New Patients Yes. Referral may be required.

(916) 871-8248

Certification Number

AMY SCHEPCOFF -PRIVATE PRACTICE-

PLACER SCOTT, KATRINA

6520 LONETREE BLVD, #118

ROCKLIN, CA 95765

Marriage and Family Therapist

CA License Number MFC53838

Other Languages

National Provider ID 1710110986

Accepting New Patients Yes. Referral may be required.

(916) 696-6495

Certification Number

KATRINA SCOTT -PRIVATE PRACTICE-

PLACER SHURDEN-LOPEZ, DORIS

901 SUNRISE AVE

ROSEVILLE, CA 95661

Marriage and Family Therapist

CA License Number MFT95714

Other Languages

National Provider ID 1487196275

Accepting New Patients Yes. Referral may be required.

(916) 224-5485

Certification Number

DORIS SHURDEN-LOPEZ -PRIVATE PRACTIC

PLACER SMITH, ELOISA

508 GIBSON DR, STE 150

ROSEVILLE, CA 95678

Marriage and Family Therapist

CA License Number MFC84540

Other Languages

National Provider ID 1073814414

Accepting New Patients Yes. Referral may be required.

(916) 865-3670

Certification Number

ELOISA SMITH -PRIVATE PRACTICE-

PLACER SMITH, RAYMOND

6900 BOULDER RD,

GRANITE BAY, CA 95746

Marriage and Family Therapist

CA License Number MFC40507

Other Languages

National Provider ID 1871688234

Accepting New Patients Yes. Referral may be required.

(916) 521-2677

Certification Number

RAYMOND SMITH -PRIVATE PRACTICE-

PLACER SMITH, THOM

1133 HIGH ST, STE C

AUBURN, CA 95603

Marriage and Family Therapist

CA License Number MFC00017105

Other Languages

National Provider ID 1710993399

Accepting New Patients Yes. Referral may be required.

(530) 885-8310

Certification Number

THOM SMITH -PRIVATE PRACTICE-

Page 172 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER SNYDER, MARSHA

1731 E ROSEVILLE PKWY, STE 290

ROSEVILLE, CA 95661

Psychiatrist

CA License Number 144394

Other Languages

National Provider ID 1790883163

Accepting New Patients Yes. Referral may be required.

(415) 671-6819

Certification Number

MARSHA SNYDER -PRIVATE PRACTICE-

PLACER TEETERS, SUSAN

3175 SUNSET BLVD, STE 104

ROCKLIN, CA 95677

Marriage and Family Therapist

CA License Number MFC27558

Other Languages

National Provider ID 1417025776

Accepting New Patients Yes. Referral may be required.

(530) 308-2203

Certification Number

SUSAN TEETERS -PRIVATE PRACTICE-

PLACER TERRILL, WILMA

1380 LEAD HILL BLVD, STE 110

ROSEVILLE, CA 95661

Marriage and Family Therapist

CA License Number MFC37977

Other Languages GERMAN

National Provider ID 1518018381

Accepting New Patients Yes. Referral may be required.

(916) 397-9216

Certification Number

WILMA TERRILL -PRIVATE PRACTICE-

PLACER UPADHYAY, AMITA

1420 ROCKY RIDGE DR, STE 230

ROSEVILLE, CA 95661

Psychiatrist

CA License Number A100368

Other Languages

National Provider ID 1689859936

Accepting New Patients Yes. Referral may be required.

(916) 783-9697

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

PLACER VAN FELIX, BARBARA

1212 HIGH ST,

AUBURN, CA 95603

Licensed Clinical Social Worker

CA License Number LCSW11493

Other Languages

National Provider ID 1679520878

Accepting New Patients Yes. Referral may be required.

(530) 887-8455

Certification Number

BARBARA VAN FELIX -PRIVATE PRACTICE-

PLACER VITRO, SHANNON

5701 LONETREE BLVD, STE 321

ROCKLIN, CA 95765

Licensed Clinical Social Worker

CA License Number LCS74811

Other Languages

National Provider ID 1760799902

Accepting New Patients Yes. Referral may be required.

(916) 251-9674

Certification Number

SHANNON VITRO -PRIVATE PRACTICE-

Page 173 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER VOLKER, CHRISTINE

1899 E ROSEVILLE PKWY, STE 100

ROSEVILLE, CA 95661

Psychologist

CA License Number PSY18161

Other Languages

National Provider ID 1730119892

Accepting New Patients Yes. Referral may be required.

(916) 812-3004

Certification Number

CHRISTINE VOLKER -PRIVATE PRACTICE-

PLACER WANG, SOPHIA

805 DOUGLAS BLVD, STE 112

ROSEVILLE, CA 95678

Psychologist

CA License Number PSY22403

Other Languages MANDARIN

National Provider ID 1154474294

Accepting New Patients Yes. Referral may be required.

(916) 580-1988

Certification Number

SOPHIA WANG -PRIVATE PRACTICE-

PLACER WESTENDORF, ELAINE

5025 HAMPTON CT,

GRANITE BAY, CA 95746

Licensed Clinical Social Worker

CA License Number LCSW13106

Other Languages

National Provider ID 1518903012

Accepting New Patients Yes. Referral may be required.

(916) 759-6446

Certification Number

ELAINE WESTENDORF -PRIVATE PRACTICE-

PLACER WRIGHT, WILLIAM

3175 SUNSET BLVD, STE 104

ROCKLIN, CA 95677

Marriage and Family Therapist

CA License Number 46545

Other Languages

National Provider ID 1639180730

Accepting New Patients Yes. Referral may be required.

(916) 532-9566

Certification Number

WILLIAM WRIGHT -PRIVATE PRACTICE-

PLACER YANG, CHUNLIN

1899 E ROSEVILLE PKWY, STE 140

ROSEVILLE, CA 95661

Psychiatrist

CA License Number A67529

Other Languages CHINESE MANDARIN

National Provider ID 1699878561

Accepting New Patients Yes. Referral may be required.

(916) 797-0525

Certification Number

CHUNLIN YANG -PRIVATE PRACTICE-

PLACER YU, BENJAMIN

1420 ROCKY RIDGE DR, STE 230

ROSEVILLE, CA 95661

Psychiatrist

CA License Number A73887

Other Languages

National Provider ID 1972617546

Accepting New Patients Yes. Referral may be required.

(916) 783-9697

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

Page 174 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

PLACER ZIKE, PATSY

550 W RANCH VIEW DR, STE 3000

ROCKLIN, CA 95765

Licensed Clinical Social Worker

CA License Number LCS14195

Other Languages

National Provider ID 1396813242

Accepting New Patients Yes. Referral may be required.

(530) 401-5458

Certification Number

MERCY MEDICAL GROUP

PLACER ZUCCOLOTTO, DAVID

2110 PROFESSIONAL DR, STE 200

ROSEVILLE, CA 95661

Psychologist

CA License Number PSY25250

Other Languages

National Provider ID 1013247238

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

DAVID ZUCCOLOTTO -PRIVATE PRACTICE-

SACRAMENTO ABBASI, SALEHA

2180 HARVARD ST, STE 210

SACRAMENTO, CA 95815

Psychiatrist

CA License Number A106565

Other Languages

National Provider ID 1972701324

Accepting New Patients Yes. Referral may be required.

(916) 567-3500

Certification Number

SALEHA ABBASI -PRIVATE PRACTICE-

SACRAMENTO ABDELMALAK, NANCY

9290 W STOCKTON BLVD, STE 109

ELK GROVE, CA 95758

Psychiatrist

CA License Number A133007

Other Languages

National Provider ID 1912137498

Accepting New Patients Yes. Referral may be required.

(916) 576-7924

Certification Number

NANCY ABDELMALAK -PRIVATE PRACTICE-

SACRAMENTO ADAMS, CANDACE

2609 CAPITOL AVE,

SACRAMENTO, CA 95816

Psychologist

CA License Number PSY11112

Other Languages

National Provider ID 1649365115

Accepting New Patients Yes. Referral may be required.

(916) 444-7515

Certification Number

CANDACE ADAMS -PRIVATE PRACTICE-

SACRAMENTO ADAMS, CANDACE

650 HOWE AVE, STE 100

SACRAMENTO, CA 95825

Psychologist

CA License Number PSY11112

Other Languages

National Provider ID 1649365115

Accepting New Patients Yes. Referral may be required.

(916) 925-4507

Certification Number

CANDACE ADAMS -PRIVATE PRACTICE-

Page 175 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO ADAMS, CANDACE

650 HOWE AVE, STE 100

SACRAMENTO, CA 95825

Psychologist

CA License Number PSY11112

Other Languages

National Provider ID 1649365115

Accepting New Patients Yes. Referral may be required.

(916) 925-4507

Certification Number

CANDACE ADAMS -PRIVATE PRACTICE-

SACRAMENTO ADAMS, CANDACE

2609 CAPITOL AVE

SACRAMENTO, CA 95816

Psychologist

CA License Number PSY11112

Other Languages

National Provider ID 1649365115

Accepting New Patients Yes. Referral may be required.

(916) 444-7515

Certification Number

CANDACE ADAMS -PRIVATE PRACTICE-

SACRAMENTO ADAMS-BEST, OLA

3105 1ST AVE, SUITE A

SACRAMENTO, CA 95817

Licensed Clinical Social Worker

CA License Number 26535

Other Languages

National Provider ID 1326146382

Accepting New Patients Yes. Referral may be required.

(916) 956-6232

Certification Number

OLA ADAMS-BEST -PRIVATE PRACTICE-

SACRAMENTO ASMAN, INGE

4116 AUBURN BLVD,

SACRAMENTO, CA 95841

Licensed Clinical Social Worker

CA License Number LCS00012168

Other Languages

National Provider ID 1184797227

Accepting New Patients Yes. Referral may be required.

(916) 944-1958

Certification Number

INGE ASMAN -PRIVATE PRACTICE-

SACRAMENTO BACIGALUPI, RAY

3101 I ST,

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number MFT021163

Other Languages

National Provider ID 1720013212

Accepting New Patients Yes. Referral may be required.

(916) 447-5706

Certification Number

RAY BACIGALUPI -PRIVATE PRACTICE-

SACRAMENTO BALLANTI, DEBORAH

965 UNIVERSITY AVE, STE 150

SACRAMENTO, CA 95825

Licensed Clinical Social Worker

CA License Number LCS11232

Other Languages

National Provider ID 1982714986

Accepting New Patients Yes. Referral may be required.

(916) 485-5632

Certification Number 21100

DEBORAH BALLANTI -PRIVATE PRACTICE-

Page 176 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO BALLANTI, DEBORAH

3550 WATT AVE, STE 180

SACRAMENTO, CA 95821

Licensed Clinical Social Worker

CA License Number LCS11232

Other Languages

National Provider ID 1982714986

Accepting New Patients Yes. Referral may be required.

(916) 485-5632

Certification Number 21100

DEBORAH BALLANTI -PRIVATE PRACTICE-

SACRAMENTO BALLANTI, DEBORAH

3550 WATT AVE, STE 180

SACRAMENTO, CA 95821

Licensed Clinical Social Worker

CA License Number LCS11232

Other Languages

National Provider ID 1982714986

Accepting New Patients Yes. Referral may be required.

(916) 485-5632

Certification Number 21100

DEBORAH BALLANTI -PRIVATE PRACTICE-

SACRAMENTO BALLANTI, DEBORAH

965 UNIVERSITY AVE, STE 150

SACRAMENTO, CA 95825

Licensed Clinical Social Worker

CA License Number LCS11232

Other Languages

National Provider ID 1982714986

Accepting New Patients Yes. Referral may be required.

(916) 485-5632

Certification Number 21100

DEBORAH BALLANTI -PRIVATE PRACTICE-

SACRAMENTO BATT, KAREN

9500 MICRON AVE, STE 132

SACRAMENTO, CA 95827

Marriage and Family Therapist

CA License Number 84125

Other Languages

National Provider ID 1396927968

Accepting New Patients Yes. Referral may be required.

(916) 856-5699

Certification Number

KAREN BATT -PRIVATE PRACTICE-

SACRAMENTO BAUM, ARTHUR

718 ALHAMBRA BLVD,

SACRAMENTO, CA 95816

Licensed Clinical Social Worker

CA License Number LCSW5966

Other Languages

National Provider ID 1033216072

Accepting New Patients Yes. Referral may be required.

(916) 441-1925

Certification Number

ARTHUR BAUM -PRIVATE PRACTICE-

SACRAMENTO BAUMGARDNER, ROBERT

193 BLUE RAVINE RD., #220

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number 41844

Other Languages

National Provider ID 1619158383

Accepting New Patients Yes. Referral may be required.

(916) 988-5531

Certification Number

ROBERT BAUMGARDNER -PRIVATE PRACTI

Page 177 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO BERGER, PETER

801 ALHAMBRA BLVD, STE 1

SACRAMENTO, CA 95816

Licensed Clinical Social Worker

CA License Number LCS00015120

Other Languages

National Provider ID 1669541082

Accepting New Patients Yes. Referral may be required.

(916) 454-5881

Certification Number

PETER BERGER LCSW

SACRAMENTO BERMUDES, RICHARD

350 UNIVERSITY AVE, STE 101

SACRAMENTO, CA 95825

Psychiatrist

CA License Number A85302

Other Languages

National Provider ID 1518940774

Accepting New Patients Yes. Referral may be required.

(916) 932-0380

Certification Number

RICHARD BERMUDES -PRIVATE PRACTICE-

SACRAMENTO BLOOM, STEWART

3650 AUBURN BLVD, STE 200

SACRAMENTO, CA 95821

Licensed Clinical Social Worker

CA License Number LCS14645

Other Languages

National Provider ID 1467474924

Accepting New Patients Yes. Referral may be required.

(916) 479-5047

Certification Number

STEWART BLOOM -PRIVATE PRACTICE-

SACRAMENTO BLOOM, STEWART

930 ALHAMBRA BLVD, STE 280

SACRAMENTO, CA 95816

Licensed Clinical Social Worker

CA License Number LCS14645

Other Languages

National Provider ID 1467474924

Accepting New Patients Yes. Referral may be required.

(916) 479-5047

Certification Number

STEWART BLOOM -PRIVATE PRACTICE-

SACRAMENTO BOHLING, ROBERT

9500 MICRON AVE, STE 132

SACRAMENTO, CA 95827

Licensed Clinical Social Worker

CA License Number LCSW8580

Other Languages

National Provider ID 1255736997

Accepting New Patients Yes. Referral may be required.

(916) 856-5699

Certification Number

ROBERT BOHLING -PRIVATE PRACTICE-

SACRAMENTO BONNETT, GEORGE

193 BLUE RAVINE RD, STE 170

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFT49354

Other Languages

National Provider ID 1841309978

Accepting New Patients Yes. Referral may be required.

(916) 608-0714

Certification Number

GEORGE BONNETT -PRIVATE PRACTICE-

Page 178 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO BONNETT, GEORGE

8146 GREENBACK LN, STE 103D

FAIR OAKS, CA 95628

Marriage and Family Therapist

CA License Number MFT49354

Other Languages

National Provider ID 1841309978

Accepting New Patients Yes. Referral may be required.

(916) 765-1450

Certification Number

GEORGE BONNETT -PRIVATE PRACTICE-

SACRAMENTO BOYLE, JOHN

835 UNIVERSITY AVE,

SACRAMENTO, CA 95825

Psychiatrist

CA License Number G35874

Other Languages

National Provider ID 1053391029

Accepting New Patients Yes. Referral may be required.

(916) 564-0377

Certification Number

JOHN BOYLE -PRIVATE PRACTICE-

SACRAMENTO BOYLE, SYLVIA

1990 3RD ST, STE 600

SACRAMENTO, CA 95811

Psychologist

CA License Number PSY12576

Other Languages

National Provider ID 1548249204

Accepting New Patients Yes. Referral may be required.

(916) 443-4440

Certification Number

SYLVIA BOYLE -PRIVATE PRACTICE-

SACRAMENTO BRENT, MARLENE

8120 TIMBERLAKE WAY,

SACRAMENTO, CA 95823

Licensed Clinical Social Worker

CA License Number LCS5765

Other Languages

National Provider ID 1619141371

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

MARLENE BRENT -PRIVATE PRACTICE-

SACRAMENTO BRENT, MARLENE

8120 TIMBERLAKE WAY, STE 101

SACRAMENTO, CA 95823

Licensed Clinical Social Worker

CA License Number LCS5765

Other Languages

National Provider ID 1619141371

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

MERCY MEDICAL GROUP

SACRAMENTO BRIDGES, DELESTER

3807 PASADENA AVE, STE 115

SACRAMENTO, CA 95821

Marriage and Family Therapist

CA License Number MFC26006

Other Languages

National Provider ID 1952484016

Accepting New Patients Yes. Referral may be required.

(916) 484-7522

Certification Number

DELESTER BRIDGES -PRIVATE PRACTICE-

Page 179 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO BRINING, DEANNE

2428 K ST,

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 37812

Other Languages

National Provider ID 1104019975

Accepting New Patients Yes. Referral may be required.

(916) 716-6770

Certification Number

DEANNE BRINING -PRIVATE PRACTICE-

SACRAMENTO BROWN, TERRENCE

4300 AUBURN BLVD, STE 204

SACRAMENTO, CA 95841

Psychologist

CA License Number PSY7113

Other Languages

National Provider ID 1669648259

Accepting New Patients Yes. Referral may be required.

(916) 364-0440

Certification Number

TERRENCE BROWN -PRIVATE PRACTICE-

SACRAMENTO BROWNING-LOVE, LYNNETTE

2740 FULTON AVE, STE 100B

SACRAMENTO, CA 95821

Marriage and Family Therapist

CA License Number MFC43434

Other Languages

National Provider ID 1487780300

Accepting New Patients Yes. Referral may be required.

(916) 612-8424

Certification Number

LYNNETTE BROWNING-LOVE -PRIVATE PRA

SACRAMENTO BURG, WILLIAM

8002 CALIFORNIA AVE,

FAIR OAKS, CA 95628

Marriage and Family Therapist

CA License Number 44616

Other Languages

National Provider ID 1497912695

Accepting New Patients Yes. Referral may be required.

(916) 725-4154

Certification Number

HEALTHY CHOICES COUNSELING

SACRAMENTO BURSON, GWEN

11344 COLOMA RD, STE 250

GOLD RIVER, CA 95670

Marriage and Family Therapist

CA License Number MFC36715

Other Languages

National Provider ID 1730250069

Accepting New Patients Yes. Referral may be required.

(916) 501-6706

Certification Number

GWEN BURSON

SACRAMENTO BYRNES, KATE

1330 21ST ST, STE 201

SACRAMENTO, CA 95811

Marriage and Family Therapist

CA License Number 47215

Other Languages

National Provider ID 1336250588

Accepting New Patients Yes. Referral may be required.

(916) 760-2400

Certification Number

KATE BYRNES -PRIVATE PRACTICE-

Page 180 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO CALDWELL, REGINALD

2609 CAPITOL AVE,

SACRAMENTO, CA 95816

Licensed Clinical Social Worker

CA License Number 19508

Other Languages

National Provider ID 1700099702

Accepting New Patients Yes. Referral may be required.

(916) 600-9419

Certification Number

REGINALD CALDWELL -PRIVATE PRACTICE-

SACRAMENTO CANN, KATHRYN

11344 COLOMA RD, STE 250

GOLD RIVER, CA 95670

Licensed Clinical Social Worker

CA License Number LCS15144

Other Languages

National Provider ID 1457448466

Accepting New Patients Yes. Referral may be required.

(916) 812-2989

Certification Number

KATHRYN CANN -PRIVATE PRACTICE-

SACRAMENTO CARLSON, DENNIS

2951 FULTON AVE,

SACRAMENTO, CA 95821

Marriage and Family Therapist

CA License Number 38728

Other Languages

National Provider ID 1184779878

Accepting New Patients Yes. Referral may be required.

(916) 484-5724

Certification Number

DENNIS CARLSON -PRIVATE PRACTICE-

SACRAMENTO CASTRO, ALICIA

8920 EMERALD PARK DR, STE A

ELK GROVE, CA 95624

Marriage and Family Therapist

CA License Number MFT69100

Other Languages

National Provider ID 1790163855

Accepting New Patients Yes. Referral may be required.

(916) 512-5447

Certification Number

ALICIA CASTRO -PRIVATE PRACTICE-

SACRAMENTO CHANG, BEVERLY

950 GLENN DR, STE 235

FOLSOM, CA 95630

Psychiatrist

CA License Number A118995

Other Languages

National Provider ID 1063716009

Accepting New Patients Yes. Referral may be required.

(916) 990-9159

Certification Number

BEVERLY CHANG -PRIVATE PRACTICE-

SACRAMENTO CHIPP, THOMAS

2399 AMERICAN RIVER DR, STE 8

SACRAMENTO, CA 95825

Licensed Clinical Social Worker

CA License Number MB16783

Other Languages

National Provider ID 1215005970

Accepting New Patients Yes. Referral may be required.

(916) 482-4194

Certification Number

THOMAS CHIPP -PRIVATE PRACTICE-

Page 181 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO CHIU, SUFEN

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Psychiatrist

CA License Number G086593

Other Languages

National Provider ID 1336124486

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

MERCY MEDICAL GROUP

SACRAMENTO CHUI, PENELOPE

6130 FREEPORT BLVD, STE 200B

SACRAMENTO, CA 95822

Marriage and Family Therapist

CA License Number LPCC8

Other Languages CHINESE

National Provider ID 1801806468

Accepting New Patients Yes. Referral may be required.

(916) 709-7872

Certification Number

PENELOPE CHUI COUNSELING

SACRAMENTO COBB, ANGELA

3050 FITE CIR, STE 101K

SACRAMENTO, CA 95827

Marriage and Family Therapist

CA License Number MFC42421

Other Languages

National Provider ID 1275603235

Accepting New Patients Yes. Referral may be required.

(209) 518-0287

Certification Number

COBB COUNSELING SERVICES

SACRAMENTO CONSIDINE, T BRENDAN

660 FLORIN RD,

SACRAMENTO, CA 95831

Marriage and Family Therapist

CA License Number MFC00028970

Other Languages

National Provider ID 1407827389

Accepting New Patients Yes. Referral may be required.

(916) 612-7716

Certification Number

T BRENDAN CONSIDINE MFT

SACRAMENTO COX, PAUL

2180 HARVARD ST, STE 210

SACRAMENTO, CA 95815

Psychiatrist

CA License Number G72748

Other Languages

National Provider ID 1790769834

Accepting New Patients Yes. Referral may be required.

(916) 567-3500

Certification Number

PAUL COX -PRIVATE PRACTICE-

SACRAMENTO CURRY, JAMES

540 PLAZA DR, STE 110

FOLSOM, CA 95630

Licensed Clinical Social Worker

CA License Number LCS1551

Other Languages

National Provider ID 1215191036

Accepting New Patients Yes. Referral may be required.

(916) 337-2048

Certification Number

JAMES CURRY -PRIVATE PRACTICE-

Page 182 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO DAVIS, DEBORAH

965 UNIVERSITY AVE, STE 150

SACRAMENTO, CA 95825

Marriage and Family Therapist

CA License Number 37300

Other Languages

National Provider ID 1407137888

Accepting New Patients Yes. Referral may be required.

(916) 396-4307

Certification Number

DEBORAH A DAVIS

SACRAMENTO DAY, ARTHUR

9008 ELK GROVE BLVD,

ELK GROVE, CA 95624

Marriage and Family Therapist

CA License Number 38959

Other Languages

National Provider ID 1013156033

Accepting New Patients Yes. Referral may be required.

(916) 691-1190

Certification Number

ARTHUR DAY -PRIVATE PRACTICE-

SACRAMENTO DAY, ARTHUR

1531 CORPORATE WAY,

SACRAMENTO, CA 95831

Marriage and Family Therapist

CA License Number 38959

Other Languages

National Provider ID 1013156033

Accepting New Patients Yes. Referral may be required.

(916) 691-1190

Certification Number

ARTHUR DAY -PRIVATE PRACTICE-

SACRAMENTO DERRICO JR, ROCCO

8300 FAIR OAKS BLVD, STE 402

CARMICHAEL, CA 95608

Licensed Clinical Social Worker

CA License Number LCSW3712

Other Languages

National Provider ID 1841391752

Accepting New Patients Yes. Referral may be required.

(916) 944-4176

Certification Number

ROCCO J DERICO JR LCSW

SACRAMENTO DIEFENBACHER, NADINE

193 BLUE RAVINE RD, STE 170

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC40381

Other Languages

National Provider ID 1215353792

Accepting New Patients Yes. Referral may be required.

(916) 608-0714

Certification Number

NADINE DIEFENBACHER -PRIVATE PRACTIC

SACRAMENTO DRIVON, MELISSA

193 BLUE RAVINE RD, STE 220

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number 51421

Other Languages

National Provider ID 1023267499

Accepting New Patients Yes. Referral may be required.

(916) 988-5531

Certification Number

MELISSA DRIVON -PRIVATE PRACTICE-

Page 183 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO DUNKELBERGER, LAURA

801 ALHAMBRA BLVD,

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 49537

Other Languages

National Provider ID 1134231715

Accepting New Patients Yes. Referral may be required.

(916) 474-0331

Certification Number

LAURA DUNKELBERGER -PRIVATE PRACTIC

SACRAMENTO EASLING, KAREN

2830 I ST, SUITE 203

SACRAMENTO, CA 95816

Licensed Clinical Social Worker

CA License Number LF13295

Other Languages

National Provider ID 1881758738

Accepting New Patients Yes. Referral may be required.

(916) 457-9491

Certification Number

KAREN EASLING -PRIVATE PRACTICE-

SACRAMENTO EASLING, KAREN

2701 I ST,

SACRAMENTO, CA 95816

Licensed Clinical Social Worker

CA License Number LF13295

Other Languages

National Provider ID 1881758738

Accepting New Patients Yes. Referral may be required.

(916) 457-9491

Certification Number

KAREN EASLING -PRIVATE PRACTICE-

SACRAMENTO EKSTROM, CAROL

949 UNIVERSITY AVE, STE 200

SACRAMENTO, CA 95825

Psychologist

CA License Number PSY8737

Other Languages

National Provider ID 1659606150

Accepting New Patients Yes. Referral may be required.

(616) 564-6248

Certification Number

CAROL EKSTROM -PRIVATE PRACTICE-

SACRAMENTO ELIZABETH, MARIE

6555 COYLE AVE,

CARMICHAEL, CA 95608

Marriage and Family Therapist

CA License Number MFC18832

Other Languages

National Provider ID 1861655680

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

MARIE ELIZABETH -PRIVATE PRACTICE-

SACRAMENTO FELLOWS, JOANIE

1909 CAPITOL AVE, STE 304

SACRAMENTO, CA 95814

Marriage and Family Therapist

CA License Number MFC48224

Other Languages SPANISH

National Provider ID 1164639688

Accepting New Patients Yes. Referral may be required.

(916) 978-1786

Certification Number

JOANIE FELLOWS -PRIVATE PRACTICE-

Page 184 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO FIELDS, SELMA

4801 J ST, STE E

SACRAMENTO, CA 95819

Marriage and Family Therapist

CA License Number MFC27154

Other Languages

National Provider ID 1831117951

Accepting New Patients Yes. Referral may be required.

(916) 456-4624

Certification Number

SOLACE COUNSELING MFT OR SOLAC

SACRAMENTO FINKELSTEIN, DAVID

9290 W STOCKTON BLVD, STE 109

ELK GROVE, CA 95758

Psychiatrist

CA License Number A125377

Other Languages

National Provider ID 1124179262

Accepting New Patients Yes. Referral may be required.

(916) 576-7924

Certification Number

DAVID FINKELSTEIN -PRIVATE PRACTICE-

SACRAMENTO FISCHER, WENDY

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Marriage and Family Therapist

CA License Number MFC32032

Other Languages

National Provider ID 1740345826

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

WENDY FISCHER -PRIVATE PRACTICE-

SACRAMENTO FLEMING, SUSAN

801 ALHAMBRA BLVD, STE 4

SACRAMENTO, CA 95816

Psychologist

CA License Number PSY16902

Other Languages

National Provider ID 1124165899

Accepting New Patients Yes. Referral may be required.

(916) 441-4077

Certification Number

SUSAN M FLEMING PHD

SACRAMENTO FORTUNE, CANDACE

785 ORCHARD DR, STE 100

FOLSOM, CA 95630

Psychiatrist

CA License Number A69812

Other Languages

National Provider ID 1447360482

Accepting New Patients Yes. Referral may be required.

(916) 984-4300

Certification Number

CANDACE FORTUNE -PRIVATE PRACTICE-

SACRAMENTO FOSTER, MARK

1330 Q ST,

SACRAMENTO, CA 95811

Marriage and Family Therapist

CA License Number MFC00022707

Other Languages

National Provider ID 1659396182

Accepting New Patients Yes. Referral may be required.

(916) 453-1151

Certification Number

MARK FOSTER -PRIVATE PRACTICE-

Page 185 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO FOWLE, CAROLYN

511 Q ST, APT 18

SACRAMENTO, CA 95811

Psychologist

CA License Number PSY2969

Other Languages

National Provider ID 1669578936

Accepting New Patients Yes. Referral may be required.

(916) 443-3383

Certification Number

CAROLYN FOWLE -PRIVATE PRACTICE-

SACRAMENTO FRANKLIN, ROBERT

4250 AUBURN BLVD,

SACRAMENTO, CA 95841

Psychiatrist

CA License Number G44663

Other Languages

National Provider ID 1164533329

Accepting New Patients Yes. Referral may be required.

(916) 922-5222

Certification Number

ROBERT FRANKLIN -PRIVATE PRACTICE-

SACRAMENTO FROEHLICH-SANTINO, WENDY

950 GLENN DR, STE 235

FOLSOM, CA 95630

Psychiatrist

CA License Number A109260

Other Languages

National Provider ID 1831317338

Accepting New Patients Yes. Referral may be required.

(916) 990-9159

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

SACRAMENTO GALBRAITH, SARA

2617 K ST, STE 250

SACRAMENTO, CA 95816

Psychologist

CA License Number PSY26376

Other Languages

National Provider ID 1043229396

Accepting New Patients Yes. Referral may be required.

(916) 498-1322

Certification Number

SARA GALBRAITH -PRIVATE PRACTICE-

SACRAMENTO GALVAN, FRED

510 PLAZA DR, STE 170

FOLSOM, CA 95630

Licensed Clinical Social Worker

CA License Number LCS11297

Other Languages

National Provider ID 1053460824

Accepting New Patients Yes. Referral may be required.

(916) 351-9400

Certification Number

FRED GALVAN -PRIVATE PRACTICE-

SACRAMENTO GARCES, LAURA

1015 23RD ST,

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 29971

Other Languages

National Provider ID 1295849750

Accepting New Patients Yes. Referral may be required.

(916) 967-0344

Certification Number

LAURA GARCES -PRIVATE PRACTICE-

Page 186 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO GARRETT, BRIAN

950 GLENN DR, STE 235

FOLSOM, CA 95630

Psychiatrist

CA License Number A144630

Other Languages

National Provider ID 1578779260

Accepting New Patients Yes. Referral may be required.

(916) 990-9159

Certification Number

BRIAN GARRETT -PRIVATE PRACTICE-

SACRAMENTO GEMULLA, TRISHA

708 ALHAMBRA BLVD, STE 100

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number MFT48197

Other Languages

National Provider ID 1972635431

Accepting New Patients Yes. Referral may be required.

(916) 305-5659

Certification Number

TRISHA GEMULLA -PRIVATE PRACTICE-

SACRAMENTO GENNETTE, GAYLE

4500 T ST,

SACRAMENTO, CA 95819

Psychologist

CA License Number 9259

Other Languages

National Provider ID 1750301362

Accepting New Patients Yes. Referral may be required.

(916) 456-4627

Certification Number

GAYLE GENNETTE -PRIVATE PRACTICE-

SACRAMENTO GILL, AMANJOT

2180 HARVARD ST, STE 210

SACRAMENTO, CA 95815

Psychiatrist

CA License Number 142790

Other Languages

National Provider ID 1336401041

Accepting New Patients Yes. Referral may be required.

(916) 567-3500

Certification Number

AMANJOT GILL -PRIVATE PRACTICE-

SACRAMENTO GLASS, JOSHUA

2358 MARITIME DR, STE 110

ELK GROVE, CA 95758

Marriage and Family Therapist

CA License Number MFT53491

Other Languages FARSI HINDI SPANISH

National Provider ID 1780718833

Accepting New Patients Yes. Referral may be required.

(916) 716-1795

Certification Number

JOSHUA GLASS -PRIVATE PRACTICE-

SACRAMENTO GOLDBERG, BARBARA

4767 RIVER COLLEGE DR,

SACRAMENTO, CA 95841

Marriage and Family Therapist

CA License Number MFC12636

Other Languages

National Provider ID 1427082577

Accepting New Patients Yes. Referral may be required.

(916) 972-9237

Certification Number

BARBARA GOLDBERG -PRIVATE PRACTICE-

Page 187 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO GRANT, JULIA

9470 MICRON AVE,

SACRAMENTO, CA 95827

Licensed Clinical Social Worker

CA License Number 19517

Other Languages

National Provider ID 1225169725

Accepting New Patients Yes. Referral may be required.

(916) 856-5699

Certification Number

JULIA GRANT -PRIVATE PRACTICE-

SACRAMENTO HALL, HEATHER

350 UNIVERSITY AVE, STE 101

SACRAMENTO, CA 95825

Psychiatrist

CA License Number G86039

Other Languages

National Provider ID 1407886989

Accepting New Patients Yes. Referral may be required.

(844) 867-8444

Certification Number

HEATHER HALL -PRIVATE PRACTICE-

SACRAMENTO HAMMER, DAVID

1845 IRON POINT RD, #180

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC22942

Other Languages

National Provider ID 1447390083

Accepting New Patients Yes. Referral may be required.

(916) 966-7300

Certification Number

DAVID HAMMER -PRIVATE PRACTICE-

SACRAMENTO HANSON, PATRICIA

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Licensed Clinical Social Worker

CA License Number LCS13059

Other Languages

National Provider ID 1144309543

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

PATRICIA HANSON -PRIVATE PRACTICE-

SACRAMENTO HARRIS, BARBARA

2509 CAPITOL AVE, STE 204

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 23066

Other Languages

National Provider ID 1740304484

Accepting New Patients Yes. Referral may be required.

(916) 444-8198

Certification Number

BARBARA HARRIS -PRIVATE PRACTICE-

SACRAMENTO HEALY, MICHAEL

2308 J ST, SUITE D

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number LMFT31333

Other Languages

National Provider ID 1043232473

Accepting New Patients Yes. Referral may be required.

(916) 990-2579

Certification Number

MICHAEL HEALY -PRIVATE PRACTICE-

Page 188 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO HENRI LE PIERROT, GENEVA

2118 P ST,

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number LMFT43673

Other Languages SPANISH

National Provider ID 1457411878

Accepting New Patients Yes. Referral may be required.

(916) 753-6489

Certification Number

GENEVA HENRI LE PIERROT -PRIVATE PRA

SACRAMENTO HILLARY, MARCIA

1024 IRON POINT RD, STE 100 #1242

FOLSOM, CA 95630

Psychologist

CA License Number 12057

Other Languages

National Provider ID 1174793756

Accepting New Patients Yes. Referral may be required.

(916) 990-7733

Certification Number

MARCIA HILLARY -PRIVATE PRACTICE-

SACRAMENTO HISCOX, ANNA

3807 PASADENA AVE, STE 115

SACRAMENTO, CA 95821

Marriage and Family Therapist

CA License Number 71904

Other Languages

National Provider ID 1245307891

Accepting New Patients Yes. Referral may be required.

(916) 675-2285

Certification Number

ANNA HISCOX -PRIVATE PRACTICE-

SACRAMENTO HLA, NINI

2180 HARVARD ST, STE 210

SACRAMENTO, CA 95815

Psychiatrist

CA License Number A94426

Other Languages

National Provider ID 1356458616

Accepting New Patients Yes. Referral may be required.

(916) 567-3500

Certification Number

NINI HLA -PRIVATE PRACTICE-

SACRAMENTO HOOD, KENNETH

718 ALHAMBRA BLVD,

SACRAMENTO, CA 95816

Psychologist

CA License Number PSY10623

Other Languages

National Provider ID 1881651693

Accepting New Patients Yes. Referral may be required.

(916) 441-1925

Certification Number

KENNETH HOOD -PRIVATE PRACTICE-

SACRAMENTO HORVATH, TONI

5330 PRIMROSE DR, STE 240

FAIR OAKS, CA 95628

Marriage and Family Therapist

CA License Number MFC31439

Other Languages

National Provider ID 1548290422

Accepting New Patients Yes. Referral may be required.

(916) 368-6449

Certification Number

TONI J HORVATH LMFT

Page 189 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO HOWARD, JANE

7801 LAGUNA BLVD,

ELK GROVE, CA 95758

Psychologist

CA License Number PSY14430

Other Languages SPANISH

National Provider ID 1427349646

Accepting New Patients Yes. Referral may be required.

(916) 383-1105

Certification Number

JANE HOWARD -PRIVATE PRACTICE-

SACRAMENTO HOWARD, JANE

2775 COTTAGE WAY, STE 8

SACRAMENTO, CA 95825

Psychologist

CA License Number PSY14430

Other Languages SPANISH

National Provider ID 1427349646

Accepting New Patients Yes. Referral may be required.

(916) 489-1376

Certification Number

JANE HOWARD -PRIVATE PRACTICE-

SACRAMENTO HOWARTH-REYNOLDS, DEANNA

2701 COTTAGE WAY, STE 37

SACRAMENTO, CA 95825

Marriage and Family Therapist

CA License Number MFC29558

Other Languages

National Provider ID 1033280391

Accepting New Patients Yes. Referral may be required.

(916) 841-8378

Certification Number

DEANNA K HOWARTH-REYNOLDS MS

SACRAMENTO HSU, DAVID

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Psychiatrist

CA License Number A111497

Other Languages

National Provider ID 1598949430

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

DAVID HSU -PRIVATE PRACTICE-

SACRAMENTO HUGHES, WILLIAM

7700 FOLSOM BLVD,

SACRAMENTO, CA 95826

Psychiatrist

CA License Number A53892

Other Languages

National Provider ID 1013021484

Accepting New Patients Yes. Referral may be required.

(916) 386-3000

Certification Number

WILLIAM HUGHES -PRIVATE PRACTICE-

SACRAMENTO HUGHES, WILLIAM

100 HOWE AVE, STE 210S

SACRAMENTO, CA 95825

Psychiatrist

CA License Number A53892

Other Languages

National Provider ID 1013021484

Accepting New Patients Yes. Referral may be required.

(916) 333-5140

Certification Number

WILLIAM H HUGES MD

Page 190 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO HYACINTHE-BESS, LESLIE

2015 21ST ST,

SACRAMENTO, CA 95818

Licensed Clinical Social Worker

CA License Number LCS20193

Other Languages SPANISH

National Provider ID 1225059595

Accepting New Patients Yes. Referral may be required.

(916) 521-6629

Certification Number

LESLIE HYACINTHE-BESS -PRIVATE PRACTI

SACRAMENTO HYACINTHE-BESS, LESLIE

2308 J ST,

SACRAMENTO, CA 95816

Licensed Clinical Social Worker

CA License Number LCS20193

Other Languages SPANISH

National Provider ID 1225059595

Accepting New Patients Yes. Referral may be required.

(916) 521-6629

Certification Number

LESLIE HYACINTHE-BESS -PRIVATE PRACTI

SACRAMENTO HYACINTHE-BESS, LESLIE

2015 21ST ST,

SACRAMENTO, CA 95818

Licensed Clinical Social Worker

CA License Number 20193

Other Languages SPANISH

National Provider ID 1225059595

Accepting New Patients Yes. Referral may be required.

(916) 521-6629

Certification Number

LESLIE HYACINTHE-BESS -PRIVATE PRACTI

SACRAMENTO JACOBSON, BONNIE

9394 BIG HORN BLVD,

ELK GROVE, CA 95758

Marriage and Family Therapist

CA License Number MFC29089

Other Languages

National Provider ID 1881773281

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

BONNIE JACOBSON -PRIVATE PRACTICE-

SACRAMENTO JACOBSON, BONNIE

791 UNIVERSITY AVE,

SACRAMENTO, CA 95825

Marriage and Family Therapist

CA License Number MFC29089

Other Languages

National Provider ID 1881773281

Accepting New Patients Yes. Referral may be required.

(916) 947-1557

Certification Number

BONNIE JACOBSON -PRIVATE PRACTICE-

SACRAMENTO JACOBSON, BONNIE

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Marriage and Family Therapist

CA License Number MFC29089

Other Languages

National Provider ID 1881773281

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

BONNIE JACOBSON -PRIVATE PRACTICE-

Page 191 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO JOHNSON, CRAIG

2740 FULTON AVE, STE 102

SACRAMENTO, CA 95821

Licensed Clinical Social Worker

CA License Number 1941

Other Languages

National Provider ID 1609915750

Accepting New Patients Yes. Referral may be required.

(916) 482-7058

Certification Number

CRAIG JOHNSON -PRIVATE PRACTICE-

SACRAMENTO JOHNSON, HEATHER

1330 21ST ST, STE 201

SACRAMENTO, CA 95811

Marriage and Family Therapist

CA License Number 43305

Other Languages

National Provider ID 1922017334

Accepting New Patients Yes. Referral may be required.

(916) 878-1900

Certification Number

SUNSET COUNSELING CENTER

SACRAMENTO JOHNSTONE, KEN

7509 MADISON AVE, STE B105

CITRUS HEIGHTS, CA 95610

Licensed Clinical Social Worker

CA License Number LMFT9327

Other Languages

National Provider ID 1831230549

Accepting New Patients Yes. Referral may be required.

(916) 967-0611

Certification Number

KEN JOHNSTONE -PRIVATE PRACTICE-

SACRAMENTO JONES, KENNETH

193 BLUE RAVINE RD, STE 170

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC22991

Other Languages

National Provider ID 1790817781

Accepting New Patients Yes. Referral may be required.

(916) 608-0714

Certification Number

KENNETH JONES -PRIVATE PRACTICE-

SACRAMENTO JONES, KIMBERLY

3065 FREEPORT BLVD, STE 9

SACRAMENTO, CA 95818

Marriage and Family Therapist

CA License Number MFT32024

Other Languages

National Provider ID 1376552828

Accepting New Patients Yes. Referral may be required.

(916) 730-9009

Certification Number

KIMBERLY JONES -PRIVATE PRACTICE-

SACRAMENTO JONES, OTHETA

25 CADILLAC DR, STE 212

SACRAMENTO, CA 95825

Marriage and Family Therapist

CA License Number MFC59090

Other Languages SPANISH

National Provider ID 1336324441

Accepting New Patients Yes. Referral may be required.

(916) 607-6786

Certification Number

OTHETA JONES -PRIVATE PRACTICE-

Page 192 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO JUNIA, ANA

9290 W STOCKTON BLVD, STE 109

ELK GROVE, CA 95758

Psychiatrist

CA License Number A109841

Other Languages

National Provider ID 1255580981

Accepting New Patients Yes. Referral may be required.

(916) 576-7924

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

SACRAMENTO KAHLON, HARNEK

2304 E BIDWELL ST,

FOLSOM, CA 95630

Psychiatrist

CA License Number A121508

Other Languages HINDI

National Provider ID 1841446010

Accepting New Patients Yes. Referral may be required.

(347) 260-0642

Certification Number

HARNEK KAHLON -PRIVATE PRACTICE-

SACRAMENTO KAHLON, HARNEK

8001 BRUCEVILLE RD,

SACRAMENTO, CA 95823

Psychiatrist

CA License Number A121508

Other Languages HINDI

National Provider ID 1841446010

Accepting New Patients Yes. Referral may be required.

(916) 288-0300

Certification Number

HARNEK KAHLON -PRIVATE PRACTICE-

SACRAMENTO KARAPETIAN, GAYANEH

418 ALHAMBRA BLVD,

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 42453

Other Languages

National Provider ID 1205927324

Accepting New Patients Yes. Referral may be required.

(916) 730-0022

Certification Number

GAYANEH KARAPETIAN -PRIVATE PRACTIC

SACRAMENTO KASHERSKY, LEONA

2710 X ST

SACRAMENTO, CA 95818

Psychologist

CA License Number PSY20662

Other Languages

National Provider ID 1144230095

Accepting New Patients Yes. Referral may be required.

(916) 595-7233

Certification Number

LEONA KASHERSKY -PRIVATE PRACTICE-

SACRAMENTO KATZ, JASON

2308 J ST, STE D

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number MFT83803

Other Languages

National Provider ID 1205103082

Accepting New Patients Yes. Referral may be required.

(213) 359-3839

Certification Number

JASON KATZ -PRIVATE PRACTICE-

Page 193 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO KINSEY, THERON

9268 MADISON AVE,

ORANGEVALE, CA 95662

Psychologist

CA License Number PSY007235

Other Languages

National Provider ID 1780620609

Accepting New Patients Yes. Referral may be required.

(916) 988-1100

Certification Number

THERON KINSEY -PRIVATE PRACTICE-

SACRAMENTO KIRBY, MARIE

2600 E BIDWELL ST, STE 220

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC35782

Other Languages

National Provider ID 1124108063

Accepting New Patients Yes. Referral may be required.

(916) 817-2082

Certification Number

MARIE KIRBY MFT

SACRAMENTO KOCHHAR, SEEMA

1730 PRAIRIE CITY RD, STE 120

FOLSOM, CA 95630

Psychiatrist

CA License Number A146104

Other Languages

National Provider ID 1861545519

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

SEEMA KOCHHAR -PRIVATE PRACTICE-

SACRAMENTO LAMBERT, ANDREA

5777 MADISON AVE, STE 307

SACRAMENTO, CA 95841

Marriage and Family Therapist

CA License Number MFC00007126

Other Languages

National Provider ID 1912992009

Accepting New Patients Yes. Referral may be required.

(916) 966-0411

Certification Number

ANDREA LAMBERT -PRIVATE PRACTICE-

SACRAMENTO LANOCHA, KARL

350 UNIVERSITY AVE, STE 101

SACRAMENTO, CA 95825

Psychiatrist

CA License Number C56068

Other Languages

National Provider ID 1992742365

Accepting New Patients Yes. Referral may be required.

(916) 932-0380

Certification Number

KARL LANOCHA -PRIVATE PRACTICE-

SACRAMENTO LAUGHLIN, NANCY

1851 HERITAGE LN, STE 275

SACRAMENTO, CA 95815

Marriage and Family Therapist

CA License Number MFC46559

Other Languages

National Provider ID 1174848691

Accepting New Patients Yes. Referral may be required.

(916) 802-7659

Certification Number

NANCY A LAUGHLIN MFT

Page 194 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO LAVRADOR, DEIDRE

7649 SUNRISE BLVD, STE G

CITRUS HEIGHTS, CA 95610

Marriage and Family Therapist

CA License Number MFT90272

Other Languages

National Provider ID 1316391394

Accepting New Patients Yes. Referral may be required.

(916) 850-0147

Certification Number

DEIDRE LAVRADOR -PRIVATE PRACTICE-

SACRAMENTO LAWLER, KAREN

6615 VALLEY HIGH DRIVE,

SACRAMENTO, CA 95815

Marriage and Family Therapist

CA License Number MFC49292

Other Languages

National Provider ID 1205942778

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

KAREN LAWLER -PRIVATE PRACTICE-

SACRAMENTO LEBER, ANN

8920 EMERALD PARK DR, STE A

ELK GROVE, CA 95624

Marriage and Family Therapist

CA License Number MFT28277

Other Languages

National Provider ID 1861883951

Accepting New Patients Yes. Referral may be required.

(916) 512-5447

Certification Number

ANN LEBER -PRIVATE PRACTICE-

SACRAMENTO LEWIS, LISA

9268 MADISON AVE,

ORANGEVALE, CA 95662

Licensed Clinical Social Worker

CA License Number LCS11353

Other Languages

National Provider ID 1831128263

Accepting New Patients Yes. Referral may be required.

(916) 988-1100

Certification Number

LISA LEWIS -PRIVATE PRACTICE-

SACRAMENTO LIDDELL, ALYSIA

5931 STANLEY AVE, STE 1

CARMICHAEL, CA 95608

Psychologist

CA License Number PSY19996

Other Languages

National Provider ID 1497985410

Accepting New Patients Yes. Referral may be required.

(916) 235-8235

Certification Number

ALYSIA LIDDELL -PRIVATE PRACTICE-

SACRAMENTO LINDER, DAVID

193 BLUE RAVINE RD, STE 170

FOLSOM, CA 95630

Psychiatrist

CA License Number A053024

Other Languages

National Provider ID 1295890333

Accepting New Patients Yes. Referral may be required.

(916) 608-0714

Certification Number

DAVID LINDER -PRIVATE PRACTICE-

Page 195 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO LINDER, RENAE

193 BLUE RAVINE RD, STE 170

FOLSOM, CA 95630

Licensed Clinical Social Worker

CA License Number LCS18464

Other Languages

National Provider ID 1164588505

Accepting New Patients Yes. Referral may be required.

(916) 608-0714

Certification Number

RENAE LINDER -PRIVATE PRACTICE-

SACRAMENTO LINK, ANN

5081 NORTH AVE,

CARMICHAEL, CA 95608

Psychologist

CA License Number PSY10358

Other Languages

National Provider ID 1912015421

Accepting New Patients Yes. Referral may be required.

(916) 489-6082

Certification Number

ANN LINK -PRIVATE PRACTICE-

SACRAMENTO LOPES CUNHA, GARY

9316 GREENBACK LN,

ORANGEVALE, CA 95662

Marriage and Family Therapist

CA License Number 863

Other Languages

National Provider ID 1710030994

Accepting New Patients Yes. Referral may be required.

(916) 801-5951

Certification Number

GARY LOPES CUNHA -PRIVATE PRACTICE-

SACRAMENTO MAGANA, ARTHUR

193 BLUE RAVINE RD, STE 170

FOLSOM, CA 95630

Psychologist

CA License Number 18143

Other Languages SPANISH

National Provider ID 1811152861

Accepting New Patients Yes. Referral may be required.

(916) 608-0714

Certification Number

ARTHUR MAGANA -PRIVATE PRACTICE-

SACRAMENTO MAHONEY, LINDSAY

5150 SUNRISE BLVD, STE G5

FAIR OAKS, CA 95628

Licensed Clinical Social Worker

CA License Number 25278

Other Languages SPANISH

National Provider ID 1609015817

Accepting New Patients Yes. Referral may be required.

(916) 459-4604

Certification Number

LINDSAY MAHONEY -PRIVATE PRACTICE-

SACRAMENTO MAHR, CAROL

9245 LAGUNA SPRINGS DR, STE 200

ELK GROVE, CA 95758

Marriage and Family Therapist

CA License Number MFC40540

Other Languages

National Provider ID 1366544207

Accepting New Patients Yes. Referral may be required.

(916) 539-7591

Certification Number

CAROL MAHR -PRIVATE PRACTICE-

Page 196 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO MANKOWSKI, REBECCA

193 BLUE RAVINE RD

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC90266

Other Languages

National Provider ID 1023481660

Accepting New Patients Yes. Referral may be required.

(916) 608-0714

Certification Number

REBECCA MANKOWSKI -PRIVATE PRACTICE

SACRAMENTO MARLOWE, KAY

13405 FOLSOM BLVD, STE 220

FOLSOM, CA 95630

Licensed Clinical Social Worker

CA License Number LCS14420

Other Languages

National Provider ID 1730232091

Accepting New Patients Yes. Referral may be required.

(916) 716-2480

Certification Number

KAY MARLOWE -PRIVATE PRACTICE-

SACRAMENTO MATTHEWS, SHARON

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Marriage and Family Therapist

CA License Number MFC23757

Other Languages

National Provider ID 1184750440

Accepting New Patients Yes. Referral may be required.

(916) 924-6478

Certification Number

SHARON MATTHEWS -PRIVATE PRACTICE-

SACRAMENTO MCBRIDE, JULIE

193 BLUE RAVINE RD

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC38714

Other Languages

National Provider ID 1295108157

Accepting New Patients Yes. Referral may be required.

(916) 608-0714

Certification Number

JULIE MCBRIDE -PRIVATE PRACTICE-

SACRAMENTO MCCLUSKEY, GAVIN

193 BLUE RAVINE RD

FOLSOM, CA 95630

Licensed Clinical Social Worker

CA License Number LCS14871

Other Languages

National Provider ID 1083015457

Accepting New Patients Yes. Referral may be required.

(916) 608-0714

Certification Number

GAVIN MCCLUSKEY -PRIVATE PRACTICE-

SACRAMENTO MCDADE, MARIANNE

1900 POINT WEST WAY, STE 197

SACRAMENTO, CA 95815

Marriage and Family Therapist

CA License Number MFC25680

Other Languages

National Provider ID 1770516049

Accepting New Patients Yes. Referral may be required.

(916) 641-2150

Certification Number

MARIANNE MCDADE -PRIVATE PRACTICE-

Page 197 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO MCKINNEY, KATHLEEN

2619 CAPITOL AVE,

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 21663

Other Languages

National Provider ID 1699725002

Accepting New Patients Yes. Referral may be required.

(916) 441-1164

Certification Number

KATHLEEN MCKINNEY -PRIVATE PRACTICE-

SACRAMENTO MCKINNON, DAPHNE

8920 EMERALD PARK DR, STE A

ELK GROVE, CA 95624

Licensed Clinical Social Worker

CA License Number 27778

Other Languages

National Provider ID 1548376742

Accepting New Patients Yes. Referral may be required.

(916) 916-5547

Certification Number

DAPHNE MCKINNON -PRIVATE PRACTICE-

SACRAMENTO MECHLING, ELLEN

1730 PRAIRIE CITY RD,

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC38296

Other Languages

National Provider ID 1467588715

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

MERCY MEDICAL GROUP

SACRAMENTO MEE, MIRI

874 57TH ST

SACRAMENTO, CA 95819

Licensed Clinical Social Worker

CA License Number LCS21148

Other Languages HEBREW

National Provider ID 1942351911

Accepting New Patients Yes. Referral may be required.

(916) 541-2052

Certification Number

MIRI MEE -PRIVATE PRACTICE-

SACRAMENTO MEHTANI, JANAK

2951 FULTON AVE,

SACRAMENTO, CA 95821

Psychiatrist

CA License Number A32632

Other Languages HINDI PANJABI SPANISH

National Provider ID 1477581106

Accepting New Patients Yes. Referral may be required.

(916) 486-7555

Certification Number

FAIR OAKS PSYCHIATRIC ASSOCIAT

SACRAMENTO MELL, SUZANNE

193 BLUE RAVINE RD.,, #220

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number 35315

Other Languages

National Provider ID 1225189707

Accepting New Patients Yes. Referral may be required.

(916) 988-5531

Certification Number

SUZANNE MELL -PRIVATE PRACTICE-

Page 198 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO MENDEZ, TRISHA

5050 SUNRISE BLVD, STE C5

FAIR OAKS, CA 95628

Marriage and Family Therapist

CA License Number 43520

Other Languages SPANISH

National Provider ID 1245333541

Accepting New Patients Yes. Referral may be required.

(916) 769-9266

Certification Number

TRISHA MENDEZ -PRIVATE PRACTICE-

SACRAMENTO MESSINA, KATHLEEN

5150 SUNRISE BLVD, STE E1

FAIR OAKS, CA 95628

Licensed Clinical Social Worker

CA License Number LCSW11373

Other Languages

National Provider ID 1770608556

Accepting New Patients Yes. Referral may be required.

(916) 965-3807

Certification Number

KATHLEEN MESSINA -PRIVATE PRACTICE-

SACRAMENTO MIGUELGORRY, ERIN

2358 MARITIME DR

ELK GROVE, CA 95758

Marriage and Family Therapist

CA License Number MFC53224

Other Languages

National Provider ID 1205117918

Accepting New Patients Yes. Referral may be required.

(916) 716-1795

Certification Number

ERIN MIGUELGORRY -PRIVATE PRACTICE-

SACRAMENTO MIYAZAKI, IKUKO

874 57TH ST,

SACRAMENTO, CA 95819

Marriage and Family Therapist

CA License Number MFC36761

Other Languages JAPANESE

National Provider ID 1093823429

Accepting New Patients Yes. Referral may be required.

(916) 802-0233

Certification Number

IKUKO MIYAZAKI -PRIVATE PRACTICE-

SACRAMENTO MULVIHILL, SHEILA

2358 MARITIME DR, STE 110

ELK GROVE, CA 95758

Marriage and Family Therapist

CA License Number MFC80844

Other Languages FARSI

National Provider ID 1376794479

Accepting New Patients Yes. Referral may be required.

(916) 716-1795

Certification Number

SHEILA MULVIHILL -PRIVATE PRACTICE-

SACRAMENTO O'CONNELL, SUSAN

3065 FREEPORT BLVD,

SACRAMENTO, CA 95818

Licensed Clinical Social Worker

CA License Number LPC89

Other Languages FRENCH

National Provider ID 1922146067

Accepting New Patients Yes. Referral may be required.

(847) 604-1240

Certification Number

SUSAN O'CONNELL -PRIVATE PRACTICE-

Page 199 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO PADILLA-CASTRO, MARIA

2308 J ST

SACRAMENTO, CA 95816

Licensed Clinical Social Worker

CA License Number LCS19218

Other Languages

National Provider ID 1386790780

Accepting New Patients Yes. Referral may be required.

(916) 505-8073

Certification Number

MARIA PADILLA-CASTRO -PRIVATE PRACTIC

SACRAMENTO PAJOUHI, PEGAH

950 GLENN DR, STE 235

FOLSOM, CA 95630

Psychiatrist

CA License Number A104962

Other Languages

National Provider ID 1295922391

Accepting New Patients Yes. Referral may be required.

(916) 990-9159

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

SACRAMENTO PALMER, GAYLON

8002 CALIFORNIA AVE,

FAIR OAKS, CA 95628

Licensed Clinical Social Worker

CA License Number 7178

Other Languages

National Provider ID 1922027986

Accepting New Patients Yes. Referral may be required.

(916) 863-7096

Certification Number

NEW BEGINNINGS COUNSELING CTR

SACRAMENTO PARMELY, STEPHANIE

1700 PRAIRIE CITY RD, STE 350

FOLSOM, CA 95630

Psychologist

CA License Number PSY18943

Other Languages

National Provider ID 1114079514

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

MERCY MEDICAL GROUP

SACRAMENTO PARMELY, STEPHANIE

9394 BIG HORN BLVD,

ELK GROVE, CA 95758

Psychologist

CA License Number PSY18943

Other Languages

National Provider ID 1114079514

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

MERCY MEDICAL GROUP

SACRAMENTO PATEL, ROSHNI

25 CADILLAC DR, STE 106

SACRAMENTO, CA 95825

Marriage and Family Therapist

CA License Number 45804

Other Languages GUJARATI

National Provider ID 1649446782

Accepting New Patients Yes. Referral may be required.

(916) 501-5450

Certification Number

ROSHNI PATEL -PRIVATE PRACTICE-

Page 200 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO PATEL, VISHAL

9290 W STOCKTON BLVD, STE 109

ELK GROVE, CA 95758

Psychiatrist

CA License Number A130093

Other Languages

National Provider ID 1225292642

Accepting New Patients Yes. Referral may be required.

(916) 576-7924

Certification Number

VISHAL PATEL -PRIVATE PRACTICE-

SACRAMENTO PAULSON, ANTON

601 UNIVERSITY AVE, STE 280

SACRAMENTO, CA 95825

Psychologist

CA License Number PSY19647

Other Languages

National Provider ID 1699821199

Accepting New Patients Yes. Referral may be required.

(916) 850-9472

Certification Number

ANTON PAULSON -PRIVATE PRACTICE-

SACRAMENTO PETERS, LAURIE

6600 MERCY CT, STE 290

FAIR OAKS, CA 95628

Psychiatrist

CA License Number G27432

Other Languages

National Provider ID 1942389929

Accepting New Patients Yes. Referral may be required.

(916) 962-0021

Certification Number

LAURIE PETERS -PRIVATE PRACTICE-

SACRAMENTO RAMANUJAM, ABHIJIT

2180 HARVARD ST, STE 210

SACRAMENTO, CA 95815

Psychiatrist

CA License Number 110934

Other Languages

National Provider ID 1841407723

Accepting New Patients Yes. Referral may be required.

(916) 567-3500

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATES SA

SACRAMENTO RAMIREZ-MOYA, LORERKY

950 GLENN DR, STE 235

FOLSOM, CA 95630

Psychiatrist

CA License Number A133842

Other Languages

National Provider ID 1902006984

Accepting New Patients Yes. Referral may be required.

(916) 990-9159

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

SACRAMENTO RANADE, RAJDEEP

2180 HARVARD ST, STE 210

SACRAMENTO, CA 95815

Psychiatrist

CA License Number A105766

Other Languages

National Provider ID 1164614400

Accepting New Patients Yes. Referral may be required.

(916) 567-3500

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATES SA

Page 201 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO RAPPAPORT, MERYL

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Licensed Clinical Social Worker

CA License Number LCS9545

Other Languages

National Provider ID 1770651622

Accepting New Patients Not accepting new patients.

(916) 924-6400

Certification Number

MERYL RAPPAPORT -PRIVATE PRACTICE-

SACRAMENTO REED, DONNA

2316 S ST,

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number MFC39535

Other Languages

National Provider ID 1437277274

Accepting New Patients Yes. Referral may be required.

(916) 492-2368

Certification Number

DONNA REED -PRIVATE PRACTICE-

SACRAMENTO REIWITCH, ROSE

1713 PROFESSIONAL DR,

SACRAMENTO, CA 95825

Marriage and Family Therapist

CA License Number 237822

Other Languages

National Provider ID 1376653592

Accepting New Patients Yes. Referral may be required.

(916) 485-4555

Certification Number

ROSE REIWITCH -PRIVATE PRACTICE-

SACRAMENTO REIWITCH, WILLIAM

1713 PROFESSIONAL DR,

SACRAMENTO, CA 95825

Licensed Clinical Social Worker

CA License Number LCS00004329

Other Languages

National Provider ID 1417067638

Accepting New Patients Yes. Referral may be required.

(916) 485-4555

Certification Number

WILLIAM REIWITCH -PRIVATE PRACTICE-

SACRAMENTO RHOADES, TERRANCE

1321 HOWE AVE, STE 212

SACRAMENTO, CA 95825

Psychologist

CA License Number PSY22605

Other Languages

National Provider ID 1104057678

Accepting New Patients Yes. Referral may be required.

(916) 990-7211

Certification Number

TERRANCE RHOADES -PRIVATE PRACTICE-

SACRAMENTO RICHTER, LISA

8150 GREENBACK LN, STE 200

FAIR OAKS, CA 95628

Marriage and Family Therapist

CA License Number MFT33007

Other Languages

National Provider ID 1881784981

Accepting New Patients Yes. Referral may be required.

(916) 658-9983

Certification Number

LISA RICHTER MFT

Page 202 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO RIVAS-TORRES, MARIA

2180 HARVARD ST, STE 210

SACRAMENTO, CA 95815

Psychiatrist

CA License Number A112492

Other Languages

National Provider ID 1942465505

Accepting New Patients Yes. Referral may be required.

(916) 567-3500

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATES SA

SACRAMENTO RODRIGUEZ, LUIS

2830 I ST, STE 203

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 52744

Other Languages SPANISH

National Provider ID 1417103755

Accepting New Patients Yes. Referral may be required.

(916) 509-2778

Certification Number

LUIS RODRIGUEZ -PRIVATE PRACTICE-

SACRAMENTO RODRIGUEZ, LUIS

603 C ST,

GALT, CA 95632

Marriage and Family Therapist

CA License Number 52744

Other Languages SPANISH

National Provider ID 1417103755

Accepting New Patients Yes. Referral may be required.

(209) 745-6626

Certification Number

LUIS RODRIGUEZ -PRIVATE PRACTICE-

SACRAMENTO RODRIGUEZ, LUIS

8861 WILLIAMSON DR, STE 40

ELK GROVE, CA 95624

Marriage and Family Therapist

CA License Number 52744

Other Languages SPANISH

National Provider ID 1417103755

Accepting New Patients Yes. Referral may be required.

(916) 509-2778

Certification Number

LUIS RODRIGUEZ -PRIVATE PRACTICE-

SACRAMENTO RODRIGUEZ, SALINA

603 C ST,

GALT, CA 95632

Marriage and Family Therapist

CA License Number MFC87997

Other Languages SPANISH

National Provider ID 1245495803

Accepting New Patients Yes. Referral may be required.

(916) 716-1858

Certification Number

SALINA RODRIGUEZ -PRIVATE PRACTICE-

SACRAMENTO RODRIGUEZ, SALINA

4827 LAGUNA PARK DR, STE 4

ELK GROVE, CA 95758

Marriage and Family Therapist

CA License Number MFC87997

Other Languages SPANISH

National Provider ID 1245495803

Accepting New Patients Yes. Referral may be required.

(916) 716-1858

Certification Number

SALINA RODRIGUEZ -PRIVATE PRACTICE-

Page 203 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO ROMANO, BEVERLY

193 BLUE RAVINE RD, STE 170

FOLSOM, CA 95630

Psychologist

CA License Number 22268

Other Languages

National Provider ID 1023168150

Accepting New Patients Yes. Referral may be required.

(916) 608-0714

Certification Number

BEVERLY ROMANO -PRIVATE PRACTICE-

SACRAMENTO ROMMAN, FAYEZ

8009 BRUCEVILLE RD, STE 102

SACRAMENTO, CA 95823

Psychiatrist

CA License Number 79983

Other Languages

National Provider ID 1902967680

Accepting New Patients Yes. Referral may be required.

(916) 681-0333

Certification Number

FAYEZ ROMMAN -PRIVATE PRACTICE-

SACRAMENTO ROSI, KEVIN

350 UNIVERSITY AVE, STE 101

SACRAMENTO, CA 95825

Psychiatrist

CA License Number A91407

Other Languages

National Provider ID 1821150954

Accepting New Patients Yes. Referral may be required.

(844) 867-8444

Certification Number

KEVIN ROSI -PRIVATE PRACTICE-

SACRAMENTO RUFF, CHARLIE

6381 AUBURN BLVD,

CITRUS HEIGHTS, CA 95621

Marriage and Family Therapist

CA License Number MFC38646

Other Languages

National Provider ID 1275646960

Accepting New Patients Yes. Referral may be required.

(916) 910-9412

Certification Number

CHARLIE RUFF -PRIVATE PRACTICE-

SACRAMENTO SAINI, KAMALJITKAUR

101 PARKSHORE DRIVE,

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC44824

Other Languages HINDI

National Provider ID 1164615191

Accepting New Patients Yes. Referral may be required.

(916) 212-0010

Certification Number

KAMALJITKAUR SAINI -PRIVATE PRACTICE-

SACRAMENTO SALZBERG, KELSEY

2180 HARVARD ST, STE 210

SACRAMENTO, CA 95815

Psychiatrist

CA License Number 126840

Other Languages

National Provider ID 1407122146

Accepting New Patients Yes. Referral may be required.

(916) 567-3500

Certification Number

KELSEY SALZBERG -PRIVATE PRACTICE-

Page 204 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO SCHNACK, MICHELLE

25 CADILLAC DR, STE 120

SACRAMENTO, CA 95825

Licensed Clinical Social Worker

CA License Number LCSW28553

Other Languages

National Provider ID 1164535738

Accepting New Patients Yes. Referral may be required.

(916) 905-3394

Certification Number

MICHELLE SCHNACK -PRIVATE PRACTICE-

SACRAMENTO SCOTT-DAY, CHARLOTTE

1531 CORPORATE WAY,

SACRAMENTO, CA 95831

Marriage and Family Therapist

CA License Number MFC36573

Other Languages

National Provider ID 1730328758

Accepting New Patients Yes. Referral may be required.

(916) 691-1190

Certification Number

CHARLOTTE SCOTT-DAY -PRIVATE PRACTIC

SACRAMENTO SCOTT-DAY, CHARLOTTE

9008 ELK GROVE BLVD,

ELK GROVE, CA 95624

Marriage and Family Therapist

CA License Number MFC36573

Other Languages

National Provider ID 1730328758

Accepting New Patients Yes. Referral may be required.

(323) 477-6883

Certification Number

CHARLOTTE SCOTT-DAY -PRIVATE PRACTIC

SACRAMENTO SEKHON, HARJOT

193 BLUE RAVINE RD, STE 220

FOLSOM, CA 95630

Psychiatrist

CA License Number 106323

Other Languages HINDI

National Provider ID 1801003926

Accepting New Patients Yes. Referral may be required.

(888) 276-6772

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

SACRAMENTO SELBY, KRISTIN

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Licensed Clinical Social Worker

CA License Number LCS18671

Other Languages

National Provider ID 1598951659

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

KRISTIN SELBY -PRIVATE PRACTICE-

SACRAMENTO SHERWOOD, CARISA

2358 MARITIME DR, STE 110

ELK GROVE, CA 95758

Marriage and Family Therapist

CA License Number MFC48768

Other Languages

National Provider ID 1710145503

Accepting New Patients Yes. Referral may be required.

(916) 798-5468

Certification Number

CARISA SHERWOOD -PRIVATE PRACTICE-

Page 205 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO SIMS, JERRILYN

3550 WATT AVE, STE 190

SACRAMENTO, CA 95821

Marriage and Family Therapist

CA License Number 19157

Other Languages

National Provider ID 1336212240

Accepting New Patients Yes. Referral may be required.

(916) 483-8673

Certification Number

JERRILYN SIMS -PRIVATE PRACTICE-

SACRAMENTO SMITH, ELOISA

193 BLUE RAVINE RD, STE 170

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC84540

Other Languages

National Provider ID 1073814414

Accepting New Patients Yes. Referral may be required.

(916) 608-0714

Certification Number

ELOISA SMITH -PRIVATE PRACTICE-

SACRAMENTO SMITH, SHAUNA

3101 I ST,

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number MFT19774

Other Languages

National Provider ID 1134282890

Accepting New Patients Yes. Referral may be required.

(916) 447-5706

Certification Number

SHAUNA SMITH -PRIVATE PRACTICE-

SACRAMENTO SOLIMAN, HISHAM

510 PLAZA DR, # 170

FOLSOM, CA 95630

Psychiatrist

CA License Number A75977

Other Languages ARABIC

National Provider ID 1902916745

Accepting New Patients Yes. Referral may be required.

(916) 351-9400

Certification Number

HISHAM SOLIMAN MD INC

SACRAMENTO SORRENTINO, THERESE

1568 CREEKSIDE DR, STE 206

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC35160

Other Languages

National Provider ID 1861414765

Accepting New Patients Yes. Referral may be required.

(916) 396-4688

Certification Number

THERESE SORRENTINO -PRIVATE PRACTIC

SACRAMENTO SPAULDING, JANET

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Marriage and Family Therapist

CA License Number MFC40471

Other Languages

National Provider ID 1699213611

Accepting New Patients Yes. Referral may be required.

(916) 924-6478

Certification Number

JANET SPAULDING -PRIVATE PRACTICE-

Page 206 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO STALLSMITH, JOELLE

9837 FOLSOM BLVD, STE F

SACRAMENTO, CA 95827

Marriage and Family Therapist

CA License Number MFC48700

Other Languages

National Provider ID 1972726164

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

JOELLE STALLSMITH -PRIVATE PRACTICE-

SACRAMENTO STONE, LESLIE

2627 J ST, STE 220

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 38893

Other Languages

National Provider ID 1265635700

Accepting New Patients Yes. Referral may be required.

(916) 899-9848

Certification Number

LESLIE STONE -PRIVATE PRACTICE-

SACRAMENTO SUZNOVICH, ALLISON

25 CADILLAC DR, STE 106

SACRAMENTO, CA 95825

Licensed Clinical Social Worker

CA License Number 22394

Other Languages

National Provider ID 1619062262

Accepting New Patients Yes. Referral may be required.

(916) 342-4576

Certification Number

ALLISON SUZNOVICH -PRIVATE PRACTICE-

SACRAMENTO TAKLA, LA TANYA

2109 J ST, STE 201

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 49566

Other Languages

National Provider ID 1366635526

Accepting New Patients Yes. Referral may be required.

(916) 642-9522

Certification Number

LA TANYA TAKLA -PRIVATE PRACTICE-

SACRAMENTO TANG, MICHAEL

7314 W 4TH ST,

RIO LINDA, CA 95673

Licensed Clinical Social Worker

CA License Number 23717

Other Languages CANTONESE CHINESE

National Provider ID 1316055825

Accepting New Patients Yes. Referral may be required.

(916) 213-8763

Certification Number

MICHAEL TANG -PRIVATE PRACTICE-

SACRAMENTO TANG, MICHAEL

900 FULTON AVE, STE 100-6

SACRAMENTO, CA 95825

Licensed Clinical Social Worker

CA License Number 23717

Other Languages CANTONESE CHINESE

National Provider ID 1316055825

Accepting New Patients Yes. Referral may be required.

(916) 213-8763

Certification Number

MICHAEL TANG -PRIVATE PRACTICE-

Page 207 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO TANNER, KEVIN

3105 1ST AVE,

SACRAMENTO, CA 95817

Licensed Clinical Social Worker

CA License Number 29267

Other Languages

National Provider ID 1760502280

Accepting New Patients Yes. Referral may be required.

(503) 752-9496

Certification Number

KEVIN TANNER -PRIVATE PRACTICE-

SACRAMENTO THOMPSON, CAROLE

1321 HOWE AVE, STE 112

SACRAMENTO, CA 95825

Marriage and Family Therapist

CA License Number MFT41374

Other Languages

National Provider ID 1770668295

Accepting New Patients Yes. Referral may be required.

(916) 212-2932

Certification Number

CAROLE L THOMPSON MFT

SACRAMENTO TITTA, CAROL

193 BLUE RAVINE RD, STE 220

FOLSOM, CA 95630

Licensed Professional Counselor

CA License Number LPC50549

Other Languages

National Provider ID 1285818492

Accepting New Patients Yes. Referral may be required.

(916) 207-4762

Certification Number

CAROL TITTA -PRIVATE PRACTICE-

SACRAMENTO TOUSSAINT, TOSCA

3101 I ST, STE 105

SACRAMENTO, CA 95816

Licensed Clinical Social Worker

CA License Number 18918

Other Languages

National Provider ID 1881763829

Accepting New Patients Yes. Referral may be required.

(916) 271-3538

Certification Number

TOSCA TOUSSAINT -PRIVATE PRACTICE-

SACRAMENTO TRASK, TORI

9245 LAGUNA SPRINGS DR, STE 200

ELK GROVE, CA 95758

Marriage and Family Therapist

CA License Number MFC31859

Other Languages

National Provider ID 1942369020

Accepting New Patients Yes. Referral may be required.

(916) 862-5207

Certification Number

TORI TRASK -PRIVATE PRACTICE-

SACRAMENTO TRIMMER, ROBERT

350 UNIVERSITY AVE, STE 101

SACRAMENTO, CA 95825

Psychiatrist

CA License Number A83471

Other Languages

National Provider ID 1003925736

Accepting New Patients Yes. Referral may be required.

(844) 867-8444

Certification Number

ROBERT TRIMMER -PRIVATE PRACTICE-

Page 208 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO TRIPP, DEBRA

4801 J ST, STE E

SACRAMENTO, CA 95819

Marriage and Family Therapist

CA License Number MFC37882

Other Languages

National Provider ID 1083648398

Accepting New Patients Yes. Referral may be required.

(916) 456-4624

Certification Number

SOLACE COUNSELING MFT

SACRAMENTO TYLER, DIXIE

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Marriage and Family Therapist

CA License Number 20685

Other Languages

National Provider ID 1881720142

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

DIXIE TYLER -PRIVATE PRACTICE-

SACRAMENTO VALENTINE, CARMEN

1002 RIVER ROCK DR, STE 221

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number 45165

Other Languages

National Provider ID 1780692889

Accepting New Patients Yes. Referral may be required.

(916) 276-9675

Certification Number

CARMEN VALENTINE -PRIVATE PRACTICE-

SACRAMENTO VAN ETTEN, KATHLEEN

7509 MADISON AVE, STE 105B

CITRUS HEIGHTS, CA 95610

Marriage and Family Therapist

CA License Number MFC23499

Other Languages

National Provider ID 1558421123

Accepting New Patients Yes. Referral may be required.

(916) 967-0611

Certification Number

KATHLEEN VAN ETTEN -PRIVATE PRACTICE

SACRAMENTO VANG, PA

2308 J ST, STE D

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 50788

Other Languages HMONG

National Provider ID 1801908470

Accepting New Patients Yes. Referral may be required.

(916) 538-9117

Certification Number

PA VANG -PRIVATE PRACTICE-

SACRAMENTO VANG, PA

8878 ELK GROVE BLVD, STE 12B

ELK GROVE, CA 95624

Marriage and Family Therapist

CA License Number 50788

Other Languages HMONG

National Provider ID 1801908470

Accepting New Patients Yes. Referral may be required.

(916) 538-9117

Certification Number

PA VANG -PRIVATE PRACTICE-

Page 209 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO VANG, VIVA

2308 J ST, STE D

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number LMFT44945

Other Languages

National Provider ID 1629163019

Accepting New Patients Yes. Referral may be required.

(916) 900-6736

Certification Number

VIVA VANG -PRIVATE PRACTICE-

SACRAMENTO VANG, VIVA

8788 ELK GROVE BLVD, STE 12B

ELK GROVE, CA 95624

Marriage and Family Therapist

CA License Number LMFT44945

Other Languages

National Provider ID 1629163019

Accepting New Patients Yes. Referral may be required.

(916) 900-6736

Certification Number

VIVA VANG -PRIVATE PRACTICE-

SACRAMENTO VARGAS, MAURICIO

2617 K ST, STE 250

SACRAMENTO, CA 95816

Licensed Clinical Social Worker

CA License Number 68520

Other Languages

National Provider ID 1740341080

Accepting New Patients Yes. Referral may be required.

(916) 410-6229

Certification Number

MAURICIO VARGAS -PRIVATE PRACTICE-

SACRAMENTO VARZOS, NICOLETTE

1330 Q ST,

SACRAMENTO, CA 95811

Psychologist

CA License Number PSY15617

Other Languages

National Provider ID 1881791143

Accepting New Patients Yes. Referral may be required.

(916) 849-0843

Certification Number

NIKKI VARZOS PHD CLINICAL PSYC

SACRAMENTO VENABLE, LAURA

11344 COLOMA RD, STE 250

GOLD RIVER, CA 95670

Marriage and Family Therapist

CA License Number MFC37822

Other Languages

National Provider ID 1851479976

Accepting New Patients Yes. Referral may be required.

(916) 492-7900

Certification Number

LAURA VENABLE -PRIVATE PRACTICE-

SACRAMENTO WALKER, STEPHEN

708 ALHAMBRA BLVD, STE 2

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 36712

Other Languages

National Provider ID 1518989987

Accepting New Patients Yes. Referral may be required.

(916) 492-9007

Certification Number

STEPHEN WALKER -PRIVATE PRACTICE-

Page 210 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO WELCH, MICHELLE

2308 J ST, STE D

SACRAMENTO, CA 95816

Marriage and Family Therapist

CA License Number 84919

Other Languages

National Provider ID 1740537695

Accepting New Patients Yes. Referral may be required.

(650) 229-8677

Certification Number

MICHELLE WELCH -PRIVATE PRACTICE-

SACRAMENTO WHITE, WILLIAM

2180 HARVARD ST, STE 210

SACRAMENTO, CA 95815

Psychiatrist

CA License Number 87633

Other Languages

National Provider ID 1740263037

Accepting New Patients Yes. Referral may be required.

(916) 567-3500

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATES SA

SACRAMENTO WIELSTEIN, LESTER

5150 SUNRISE BLVD, STE G5

FAIR OAKS, CA 95628

Licensed Clinical Social Worker

CA License Number LCS11320

Other Languages

National Provider ID 1568565539

Accepting New Patients Yes. Referral may be required.

(916) 607-6108

Certification Number

LESTER WIELSTEIN -PRIVATE PRACTICE-

SACRAMENTO WIESNER, JUDY

850 IRON POINT RD, STE 129

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC39756

Other Languages

National Provider ID 1487673661

Accepting New Patients Yes. Referral may be required.

(916) 215-5001

Certification Number

JUDY WIESNER -PRIVATE PRACTICE-

SACRAMENTO WILLIAMS, BETSEY

791 UNIVERSITY AVE,

SACRAMENTO, CA 95825

Marriage and Family Therapist

CA License Number MFC35147

Other Languages

National Provider ID 1639323074

Accepting New Patients Yes. Referral may be required.

(916) 548-9919

Certification Number

BETSEY WILLIAMS -PRIVATE PRACTICE-

SACRAMENTO WILLIAMSON, MARY

8880 CAL CENTER DR, STE 400

SACRAMENTO, CA 95826

Licensed Clinical Social Worker

CA License Number 24015

Other Languages

National Provider ID 1871777631

Accepting New Patients Yes. Referral may be required.

(916) 361-6080

Certification Number

MARY WILLIAMSON -PRIVATE PRACTICE-

Page 211 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO WITTE, AMY

9700 FAIR OAKS BLVD,

FAIR OAKS, CA 95628

Marriage and Family Therapist

CA License Number MFC39540

Other Languages

National Provider ID 1942348669

Accepting New Patients Yes. Referral may be required.

(916) 837-1759

Certification Number

AMY WITTE -PRIVATE PRACTICE-

SACRAMENTO WOOD, RACHAELL

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Marriage and Family Therapist

CA License Number MFC49920

Other Languages

National Provider ID 1396078085

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

RACHAELL WOOD -PRIVATE PRACTICE-

SACRAMENTO WU, CHRISTINE

10316 PLACER LN, STE C

SACRAMENTO, CA 95827

Psychologist

CA License Number PSY16124

Other Languages

National Provider ID 1437112448

Accepting New Patients Yes. Referral may be required.

(916) 903-2568

Certification Number

CHRISTINE WU -PRIVATE PRACTICE-

SACRAMENTO WYATT, PAUL

3406 AMERICAN RIVER DR, STE B

SACRAMENTO, CA 95864

Marriage and Family Therapist

CA License Number MFC3094

Other Languages

National Provider ID 1073576690

Accepting New Patients Yes. Referral may be required.

(916) 565-1919

Certification Number

PAUL WYATT -PRIVATE PRACTICE-

SACRAMENTO YAMADA, AYUMI

193 BLUE RAVINE RD

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number MFC50430

Other Languages

National Provider ID 1306981626

Accepting New Patients Yes. Referral may be required.

(916) 916-5531

Certification Number

AYUMI YAMADA -PRIVATE PRACTICE-

SACRAMENTO YANKAUER, MARK

601 UNIVERSITY AVE, STE 145

SACRAMENTO, CA 95825

Marriage and Family Therapist

CA License Number MFC00029810

Other Languages

National Provider ID 1306862214

Accepting New Patients Yes. Referral may be required.

(916) 929-4487

Certification Number

MARK YANKAUER -PRIVATE PRACTICE-

Page 212 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO ZEFF, KARL

1792 TRIBUTE RD, STE 350

SACRAMENTO, CA 95815

Psychiatrist

CA License Number G56995

Other Languages

National Provider ID 1861584377

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

KARL ZEFF -PRIVATE PRACTICE-

SACRAMENTO ZEFF, KARL

1792 TRIBUTE RD,

SACRAMENTO, CA 95815

Psychiatrist

CA License Number G56995

Other Languages

National Provider ID 1861584377

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

KARL ZEFF -PRIVATE PRACTICE-

SACRAMENTO ZEIGER, JANE

1116 22ND ST,

SACRAMENTO, CA 95816

Licensed Clinical Social Worker

CA License Number LCS5943

Other Languages

National Provider ID 1912056383

Accepting New Patients Yes. Referral may be required.

(916) 441-4271

Certification Number

JANE ZEIGER -PRIVATE PRACTICE-

SACRAMENTO ZERWECK, MARLENE

507 NATOMA ST,

FOLSOM, CA 95630

Marriage and Family Therapist

CA License Number 46386

Other Languages

National Provider ID 1376688465

Accepting New Patients Yes. Referral may be required.

(916) 205-6165

Certification Number

MARLENE ZERWECK -PRIVATE PRACTICE-

SACRAMENTO ZUCCOLOTTO, DAVID

1730 PRAIRIE CITY RD, STE 120

FOLSOM, CA 95630

Psychologist

CA License Number PSY25250

Other Languages

National Provider ID 1013247238

Accepting New Patients Yes. Referral may be required.

(916) 924-6403

Certification Number

DAVID ZUCCOLOTTO -PRIVATE PRACTICE-

SACRAMENTO ZUCCOLOTTO, DAVID

3000 Q ST,

SACRAMENTO, CA 95816

Psychologist

CA License Number PSY25250

Other Languages

National Provider ID 1013247238

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

DAVID ZUCCOLOTTO -PRIVATE PRACTICE-

Page 213 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SACRAMENTO ZUCCOLOTTO, DAVID

6555 COYLE AVE,

CARMICHAEL, CA 95608

Psychologist

CA License Number PSY25250

Other Languages

National Provider ID 1013247238

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

DAVID ZUCCOLOTTO -PRIVATE PRACTICE-

SACRAMENTO ZUCCOLOTTO, DAVID

8220 WYMARK DR, STE 200

ELK GROVE, CA 95757

Psychologist

CA License Number PSY25250

Other Languages

National Provider ID 1013247238

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

DAVID ZUCCOLOTTO -PRIVATE PRACTICE-

SACRAMENTO ZUCCOLOTTO, DAVID

9394 BIG HORN BLVD,

ELK GROVE, CA 95758

Psychologist

CA License Number PSY25250

Other Languages

National Provider ID 1013247238

Accepting New Patients Yes. Referral may be required.

(916) 924-6400

Certification Number

DAVID ZUCCOLOTTO -PRIVATE PRACTICE-

SAN FRANCISCO ADAMS, SUZANNE

3609 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY29244

Other Languages

National Provider ID 1588859987

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SUZANNE ADAMS -PRIVATE PRACTICE-

SAN FRANCISCO ADELSTEIN, TEDDY

1717 UNION ST,

SAN FRANCISCO, CA 94123

Psychologist

CA License Number 12543

Other Languages

National Provider ID 1144276874

Accepting New Patients Yes. Referral may be required.

(415) 381-2209

Certification Number

TEDDY ADELSTEIN -PRIVATE PRACTICE-

SAN FRANCISCO ADELSTEIN, TEDDY

2945 BAKER ST, STE 1

SAN FRANCISCO, CA 94123

Psychologist

CA License Number 12543

Other Languages

National Provider ID 1144276874

Accepting New Patients Yes. Referral may be required.

(415) 381-2209

Certification Number

TEDDY ADELSTEIN -PRIVATE PRACTICE-

Page 214 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO ADLER, KARL

3609 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number G66450

Other Languages

National Provider ID 1609939818

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

KARL ADLER -PRIVATE PRACTICE-

SAN FRANCISCO AINSWORTH, TAKAKO

1801 BUSH ST, STE 207

SAN FRANCISCO, CA 94109

Licensed Clinical Social Worker

CA License Number 29328

Other Languages JAPANESE

National Provider ID 1467895029

Accepting New Patients Yes. Referral may be required.

(858) 405-0131

Certification Number

TAKAKO AINSWORTH -PRIVATE PRACTICE-

SAN FRANCISCO AINSWORTH, TAKAKO

1122 CLEMENT ST,

SAN FRANCISCO, CA 94118

Licensed Clinical Social Worker

CA License Number 29328

Other Languages JAPANESE

National Provider ID 1467895029

Accepting New Patients Yes. Referral may be required.

(858) 405-0131

Certification Number

TAKAKO AINSWORTH -PRIVATE PRACTICE-

SAN FRANCISCO ALY, TANYA

870 MARKET ST, STE 453

SAN FRANCISCO, CA 94102

Psychologist

CA License Number 15230

Other Languages

National Provider ID 1861571978

Accepting New Patients Yes. Referral may be required.

(415) 260-3877

Certification Number

TANYA ALY -PRIVATE PRACTICE-

SAN FRANCISCO APFEL, BRIGITTE

3061 FILLMORE ST,

SAN FRANCISCO, CA 94123

Psychiatrist

CA License Number A101833

Other Languages GERMAN

National Provider ID 1073780714

Accepting New Patients Yes. Referral may be required.

(888) 276-6772

Certification Number

BRIGITTE APFEL -PRIVATE PRACTICE-

SAN FRANCISCO ARBETMAN TRISKA, EDDIE

425 DIVISADERO ST, STE 206

SAN FRANCISCO, CA 94117

Marriage and Family Therapist

CA License Number 23797

Other Languages

National Provider ID 1831251560

Accepting New Patients Yes. Referral may be required.

(415) 206-0742

Certification Number

EDDIE ARBETMAN TRISKA -PRIVATE PRACTI

Page 215 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO ARMSTRONG, TERESSA

2918 WEBSTER ST,

SAN FRANCISCO, CA 94123

Marriage and Family Therapist

CA License Number MFT30769

Other Languages

National Provider ID 1679990063

Accepting New Patients Yes. Referral may be required.

(415) 722-8474

Certification Number

TERESSA ARMSTRONG -PRIVATE PRACTICE

SAN FRANCISCO ARQUILLA, DONALD

4326 18TH ST,

SAN FRANCISCO, CA 94114

Psychologist

CA License Number PSY12857

Other Languages

National Provider ID 1134232713

Accepting New Patients Yes. Referral may be required.

(415) 648-2815

Certification Number

DONALD ARQUILLA -PRIVATE PRACTICE-

SAN FRANCISCO AUERBACH, NINA

3663 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number G00011582

Other Languages

National Provider ID 1902825268

Accepting New Patients Yes. Referral may be required.

(415) 387-3731

Certification Number

NINA K AUERBACH

SAN FRANCISCO BARNES, KAREN

1197 VALENCIA ST, SUITE 6

SAN FRANCISCO, CA 94110

Marriage and Family Therapist

CA License Number MFC28254

Other Languages

National Provider ID 1609956457

Accepting New Patients Yes. Referral may be required.

(415) 642-9580

Certification Number

KAREN BARNES -PRIVATE PRACTICE-

SAN FRANCISCO BAUM, MARCIA

3896-24TH STREET,

SAN FRANCISCO, CA 94114

Licensed Clinical Social Worker

CA License Number LCS00009325

Other Languages

National Provider ID 1720137318

Accepting New Patients Yes. Referral may be required.

(415) 824-0580

Certification Number

MARCIA I BAUM

SAN FRANCISCO BEAHAN, JOHN

3675 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY28918

Other Languages

National Provider ID 1528195658

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOHN BEAHAN -PRIVATE PRACTICE-

Page 216 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO BEAHAN, JOHN

3609 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY28918

Other Languages

National Provider ID 1528195658

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOHN BEAHAN -PRIVATE PRACTICE-

SAN FRANCISCO BELFOR, NATALIYA

2211 POST ST, STE 203

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 21311

Other Languages RUSSIAN

National Provider ID 1861632408

Accepting New Patients Yes. Referral may be required.

(415) 680-3909

Certification Number

NATALIYA BELFOR -PRIVATE PRACTICE-

SAN FRANCISCO BERCUN, COREY

755 SANSOME ST, STE 100

SAN FRANCISCO, CA 94111

Psychologist

CA License Number PSY6895

Other Languages MANDARIN SPANISH

National Provider ID 1851426043

Accepting New Patients Yes. Referral may be required.

(415) 346-8640

Certification Number

COREY BERCUN -PRIVATE PRACTICE-

SAN FRANCISCO BERNSTEIN, MARK

3529 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number 32601

Other Languages

National Provider ID 1184672719

Accepting New Patients Yes. Referral may be required.

(415) 474-7567

Certification Number

MARK D BERNSTEIN MD INC

SAN FRANCISCO BERTI, DONALD

4058 23RD ST,

SAN FRANCISCO, CA 94114

Marriage and Family Therapist

CA License Number 15116

Other Languages

National Provider ID 1235322942

Accepting New Patients Yes. Referral may be required.

(415) 647-7331

Certification Number

DONALD BERTI -PRIVATE PRACTICE-

SAN FRANCISCO BLOCK, MARTIN

1736 DIVISADERO ST,

SAN FRANCISCO, CA 94115

Psychologist

CA License Number PSY00011367

Other Languages

National Provider ID 1932147121

Accepting New Patients Yes. Referral may be required.

(415) 563-3438

Certification Number

MARTIN BLOCK -PRIVATE PRACTICE-

Page 217 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO BOHAN, DENNIS

870 MARKET ST, STE 862

SAN FRANCISCO, CA 94102

Marriage and Family Therapist

CA License Number MFC12115

Other Languages

National Provider ID 1801906649

Accepting New Patients Yes. Referral may be required.

(415) 834-9280

Certification Number

DENNIS BOHAN -PRIVATE PRACTICE-

SAN FRANCISCO BORNSTEIN, JOANNA

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number A101029

Other Languages

National Provider ID 1235310822

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOANNA BORNSTEIN -PRIVATE PRACTICE-

SAN FRANCISCO BORNSTEIN, JOANNA

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A101029

Other Languages

National Provider ID 1235310822

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOANNA BORNSTEIN -PRIVATE PRACTICE-

SAN FRANCISCO BOYAR, ALAN

2477 WASHINGTON ST,

SAN FRANCISCO, CA 94115

Psychologist

CA License Number PSY00007175

Other Languages

National Provider ID 1881618692

Accepting New Patients Yes. Referral may be required.

(415) 457-9227

Certification Number

ALAN BOYAR -PRIVATE PRACTICE-

SAN FRANCISCO BRADLEY, HEATHER

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 24678

Other Languages

National Provider ID 1366512360

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

HEATHER BRADLEY -PRIVATE PRACTICE-

SAN FRANCISCO BRADLEY, HEATHER

1947 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 24678

Other Languages

National Provider ID 1366512360

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

HEATHER BRADLEY -PRIVATE PRACTICE-

Page 218 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO BRADLEY, HEATHER

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 24678

Other Languages

National Provider ID 1366512360

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

HEATHER BRADLEY -PRIVATE PRACTICE-

SAN FRANCISCO BROCKWELL, MATTHEW

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number A117300

Other Languages CHINESE

National Provider ID 1518255751

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MATTHEW BROCKWELL -PRIVATE PRACTIC

SAN FRANCISCO BROWN, ELLEN

1902 WEBSTER ST,

SAN FRANCISCO, CA 94115

Marriage and Family Therapist

CA License Number 19571

Other Languages

National Provider ID 1104043629

Accepting New Patients Yes. Referral may be required.

(415) 567-8123

Certification Number

ELLEN BROWN -PRIVATE PRACTICE-

SAN FRANCISCO BROWN, MASHA

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 25023

Other Languages

National Provider ID 1184812927

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MASHA BROWN -PRIVATE PRACTICE-

SAN FRANCISCO BULIN, ALICIA

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Professional Clinical Counselor

CA License Number RN713127

Other Languages

National Provider ID 1063772580

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

ALICIA BULIN -PRIVATE PRACTICE-

SAN FRANCISCO BULIN, ALICIA

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Professional Clinical Counselor

CA License Number RN713127

Other Languages

National Provider ID 1063772580

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

ALICIA BULIN -PRIVATE PRACTICE-

Page 219 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO BURG, RON

490 POST ST, STE 626

SAN FRANCISCO, CA 94102

Psychologist

CA License Number PSY17175

Other Languages

National Provider ID 1518172485

Accepting New Patients Yes. Referral may be required.

(415) 518-9177

Certification Number

RON BURG -PRIVATE PRACTICE-

SAN FRANCISCO BURKE, SANDRA

1939 DIVISADERO ST, SUITE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 24348

Other Languages

National Provider ID 1609154012

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SANDRA BURKE -PRIVATE PRACTICE-

SAN FRANCISCO CAMPBELL, RHONDA

45 FRANKLIN, SUITE 210

SAN FRANCISCO, CA 94102

Marriage and Family Therapist

CA License Number MFT32415

Other Languages

National Provider ID 1285726141

Accepting New Patients Yes. Referral may be required.

(408) 259-1933

Certification Number

RHONDA CAMPBELL -PRIVATE PRACTICE-

SAN FRANCISCO CAMPBELL, TORRI

45 FRANKLIN ST, STE 320

SAN FRANCISCO, CA 94102

Psychologist

CA License Number 15466

Other Languages

National Provider ID 1871686162

Accepting New Patients Yes. Referral may be required.

(415) 668-9787

Certification Number

TORRI CAMPBELL -PRIVATE PRACTICE-

SAN FRANCISCO CAMPOS, MARC

1829 MARKET ST, STE 208

SAN FRANCISCO, CA 94103

Licensed Clinical Social Worker

CA License Number LCS14648

Other Languages SPANISH

National Provider ID 1487715785

Accepting New Patients Yes. Referral may be required.

(510) 329-2571

Certification Number

MARC CAMPOS -PRIVATE PRACTICE-

SAN FRANCISCO CAPITOLO, MARK

465 CALIFORNIA ST, STE 630

SAN FRANCISCO, CA 94104

Marriage and Family Therapist

CA License Number 35458

Other Languages

National Provider ID 1891916698

Accepting New Patients Yes. Referral may be required.

(415) 456-5596

Certification Number

MARK CAPITOLO -PRIVATE PRACTICE-

Page 220 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO CARLAT, PAUL

3329 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A176400

Other Languages

National Provider ID 1780697318

Accepting New Patients Yes. Referral may be required.

(415) 563-1155

Certification Number

PAUL CARLAT -PRIVATE PRACTICE-

SAN FRANCISCO CARMODY, JOHN

1726 FILLMORE ST,

SAN FRANCISCO, CA 94115

Psychologist

CA License Number PSY9720

Other Languages

National Provider ID 1053524561

Accepting New Patients Yes. Referral may be required.

(415) 922-8153

Certification Number

JOHN CARMODY -PRIVATE PRACTICE-

SAN FRANCISCO CHAN, YIM

3527 SACRAMENTO STREET,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number G00061095

Other Languages CHINESE

National Provider ID 1659458289

Accepting New Patients Yes. Referral may be required.

(415) 922-1658

Certification Number

YIM CHAN -PRIVATE PRACTICE-

SAN FRANCISCO CHASET, MARJORIE

3972 24TH ST,

SAN FRANCISCO, CA 94114

Marriage and Family Therapist

CA License Number 44243

Other Languages

National Provider ID 1174655468

Accepting New Patients Yes. Referral may be required.

(415) 364-3029

Certification Number

MARJORIE CHASET, MFT

SAN FRANCISCO CHEN-HARDING, JEFFERY

2601 MISSION ST, STE 500

SAN FRANCISCO, CA 94110

Licensed Clinical Social Worker

CA License Number LCS24825

Other Languages SPANISH

National Provider ID 1629215694

Accepting New Patients Yes. Referral may be required.

(415) 890-5883

Certification Number

JEFFERY CHEN-HARDING -PRIVATE PRACTI

SAN FRANCISCO CHOI, JEAN

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 24772

Other Languages

National Provider ID 1437344066

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JEAN CHOI -PRIVATE PRACTICE-

Page 221 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO CHOI, JEAN

3129 FILLMORE ST,

SAN FRANCISCO, CA 94123

Psychologist

CA License Number 24772

Other Languages

National Provider ID 1437344066

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JEAN CHOI -PRIVATE PRACTICE-

SAN FRANCISCO CHOI, JEAN

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 24772

Other Languages

National Provider ID 1437344066

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JEAN CHOI -PRIVATE PRACTICE-

SAN FRANCISCO CICOTTE, CATHERINE

1728 UNION ST, STE 210

SAN FRANCISCO, CA 94123

Marriage and Family Therapist

CA License Number 310665

Other Languages

National Provider ID 1699804229

Accepting New Patients Yes. Referral may be required.

(415) 456-4565

Certification Number

CATHERINE CICOTTE -PRIVATE PRACTICE-

SAN FRANCISCO CLAYCOMB, MARK

55 NEW MONTGOMERY ST, STE 420

SAN FRANCISCO, CA 94105

Licensed Clinical Social Worker

CA License Number LCS13553

Other Languages

National Provider ID 1790791796

Accepting New Patients Yes. Referral may be required.

(415) 522-7400

Certification Number

MARK CLAYCOMB -PRIVATE PRACTICE-

SAN FRANCISCO COAD, VICTORIA

946 IRVING ST, STE D

SAN FRANCISCO, CA 94122

Psychologist

CA License Number PSY12891

Other Languages

National Provider ID 1467457168

Accepting New Patients Yes. Referral may be required.

(415) 257-4160

Certification Number

VICTORIA COAD -PRIVATE PRACTICE-

SAN FRANCISCO COHEN, SANDRA

399 LAUREL ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY11383

Other Languages

National Provider ID 1518079607

Accepting New Patients Yes. Referral may be required.

(415) 564-7505

Certification Number

SANDRA COHEN -PRIVATE PRACTICE-

Page 222 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO CONNOR, CHARLES

3569 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number G65182

Other Languages

National Provider ID 1851447320

Accepting New Patients Yes. Referral may be required.

(415) 522-9297

Certification Number

CHARLES P CONNER MD

SAN FRANCISCO COOPER, KRISTINA

88 KING ST, UNIT 325

SAN FRANCISCO, CA 94107

Marriage and Family Therapist

CA License Number MFT33659

Other Languages

National Provider ID 1528281151

Accepting New Patients Yes. Referral may be required.

(650) 619-7213

Certification Number

KRISTINA COOPER -PRIVATE PRACTICE-

SAN FRANCISCO CORDELL, TIMOTHY

1801 BUSH ST, STE 300A

SAN FRANCISCO, CA 94109

Professional Clinical Counselor

CA License Number 87233

Other Languages

National Provider ID 1194956771

Accepting New Patients Yes. Referral may be required.

(415) 570-8590

Certification Number

TIMOTHY CORDELL -PRIVATE PRACTICE-

SAN FRANCISCO COSTA, ALISON

4333 CALIFORNIA ST,

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number 29052

Other Languages PORTUGUESE

National Provider ID 1316974157

Accepting New Patients Yes. Referral may be required.

(415) 442-7907

Certification Number

ALISON COSTA -PRIVATE PRACTICE-

SAN FRANCISCO COYLE, TRIONA

3609 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY26086

Other Languages

National Provider ID 1003000852

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

TRIONA COYLE -PRIVATE PRACTICE-

SAN FRANCISCO CROSS, MARILYN

3150 18TH ST, STE 550

SAN FRANCISCO, CA 94110

Licensed Clinical Social Worker

CA License Number 21413

Other Languages

National Provider ID 1568650141

Accepting New Patients Yes. Referral may be required.

(415) 648-9777

Certification Number

MARILYN CROSS -PRIVATE PRACTICE-

Page 223 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO CUMMINS, LAWRENCE

1309 EVANS AVE,

SAN FRANCISCO, CA 94124

Marriage and Family Therapist

CA License Number 31072

Other Languages

National Provider ID 1427122324

Accepting New Patients Yes. Referral may be required.

(415) 206-7600

Certification Number

LAWRENCE CUMMINS -PRIVATE PRACTICE-

SAN FRANCISCO CUMMINS, LAWRENCE

3801 3RD ST,

SAN FRANCISCO, CA 94124

Marriage and Family Therapist

CA License Number 31072

Other Languages

National Provider ID 1427122324

Accepting New Patients Yes. Referral may be required.

(415) 970-3875

Certification Number

LAWRENCE CUMMINS -PRIVATE PRACTICE-

SAN FRANCISCO CUMMINS, LAWRENCE

1204 VICENTE ST,

SAN FRANCISCO, CA 94116

Marriage and Family Therapist

CA License Number 31072

Other Languages

National Provider ID 1427122324

Accepting New Patients Yes. Referral may be required.

(650) 735-5183

Certification Number

LAWRENCE CUMMINS -PRIVATE PRACTICE-

SAN FRANCISCO CUMMINS, LAWRENCE

1380 HOWARD ST,

SAN FRANCISCO, CA 94103

Marriage and Family Therapist

CA License Number 31072

Other Languages

National Provider ID 1427122324

Accepting New Patients Yes. Referral may be required.

(650) 735-5183

Certification Number

LAWRENCE CUMMINS -PRIVATE PRACTICE-

SAN FRANCISCO CUNNINGHAM, LAUREN

35 VICENTE ST,

SAN FRANCISCO, CA 94127

Licensed Clinical Social Worker

CA License Number 6612

Other Languages

National Provider ID 1952449431

Accepting New Patients Yes. Referral may be required.

(415) 585-4551

Certification Number

LAUREN CUNNINGHAM -PRIVATE PRACTICE

SAN FRANCISCO DARWIN, JANINE

1944 FILLMORE ST,

SAN FRANCISCO, CA 94115

Marriage and Family Therapist

CA License Number 46778

Other Languages

National Provider ID 1568876258

Accepting New Patients Yes. Referral may be required.

(415) 255-4267

Certification Number

JANINE DARWIN -PRIVATE PRACTICE-

Page 224 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO DARWIN, JANINE

2137 LOMBARD ST,

SAN FRANCISCO, CA 94123

Marriage and Family Therapist

CA License Number 46778

Other Languages

National Provider ID 1568876258

Accepting New Patients Yes. Referral may be required.

(415) 255-4267

Certification Number

JANINE DARWIN -PRIVATE PRACTICE-

SAN FRANCISCO DAVIS, PATRICIA

1734 FILLMORE ST,

SAN FRANCISCO, CA 94115

Marriage and Family Therapist

CA License Number LMFT28360

Other Languages

National Provider ID 1710087812

Accepting New Patients Yes. Referral may be required.

(415) 885-2218

Certification Number

PATRICIA DAVIS -PRIVATE PRACTICE-

SAN FRANCISCO DE SOUSA, GINA

3890 24TH ST,

SAN FRANCISCO, CA 94114

Licensed Clinical Social Worker

CA License Number 8986

Other Languages PORTUGUESE

National Provider ID 1669483715

Accepting New Patients Yes. Referral may be required.

(510) 528-1176

Certification Number

GINA DE SOUSA -PRIVATE PRACTICE-

SAN FRANCISCO DEGAETANO, NOAH

360 POST ST, STE 1001

SAN FRANCISCO, CA 94108

Psychiatrist

CA License Number A108691

Other Languages

National Provider ID 1326247644

Accepting New Patients Yes. Referral may be required.

(415) 671-6819

Certification Number

NOAH DEGAETANO -PRIVATE PRACTICE-

SAN FRANCISCO DEVANEY, BARBARA

3637 SACRAMENTO ST, STE G

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFC43190

Other Languages

National Provider ID 1568526861

Accepting New Patients Yes. Referral may be required.

(415) 267-1831

Certification Number

BARBARA DEVANEY -PRIVATE PRACTICE-

SAN FRANCISCO DI DONNA, LUCA

399 LAUREL ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 8425

Other Languages ITALIAN SPANISH

National Provider ID 1740328525

Accepting New Patients Yes. Referral may be required.

(415) 346-0722

Certification Number

LUCA DI DONNA PHD

Page 225 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO DICKERSON, MICHAEL

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number A107976

Other Languages

National Provider ID 1174782288

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MICHAEL DICKERSON -PRIVATE PRACTICE-

SAN FRANCISCO DICKERSON, MICHAEL

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A107976

Other Languages

National Provider ID 1174782288

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MICHAEL DICKERSON -PRIVATE PRACTICE-

SAN FRANCISCO DICKERSON, MICHAEL

3129 FILLMORE ST,

SAN FRANCISCO, CA 94123

Psychiatrist

CA License Number A107976

Other Languages

National Provider ID 1174782288

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MICHAEL DICKERSON -PRIVATE PRACTICE-

SAN FRANCISCO DONBOLI, MELODY

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number 51062

Other Languages FARSI

National Provider ID 1356583348

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MELODY DONBOLI -PRIVATE PRACTICE-

SAN FRANCISCO DONBOLI, MELODY

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Marriage and Family Therapist

CA License Number 51062

Other Languages FARSI

National Provider ID 1356583348

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MELODY DONBOLI -PRIVATE PRACTICE-

SAN FRANCISCO DONNELLY, DIANE

3626 SACRAMENTO STREET,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY00007418

Other Languages

National Provider ID 1558382945

Accepting New Patients Yes. Referral may be required.

(415) 563-3920

Certification Number

DIANE DONNELLY -PRIVATE PRACTICE-

Page 226 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO DUBBERKE, LOUISE

4200 CALIFORNIA ST, STE 206

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY12303

Other Languages

National Provider ID 1093737033

Accepting New Patients Yes. Referral may be required.

(415) 751-6766

Certification Number

LOUISE DUBBERKE -PRIVATE PRACTICE-

SAN FRANCISCO DUBIN-MCNEIL, SUSAN

3061 FILLMORE ST,

SAN FRANCISCO, CA 94123

Psychologist

CA License Number PSY12018

Other Languages

National Provider ID 1083779599

Accepting New Patients Yes. Referral may be required.

(888) 276-6772

Certification Number

SUSAN DUBIN-MCNEIL -PRIVATE PRACTICE-

SAN FRANCISCO DUBIN-MCNEIL, SUSAN

2 MARINA BLVD,

SAN FRANCISCO, CA 94123

Psychologist

CA License Number PSY12018

Other Languages

National Provider ID 1083779599

Accepting New Patients Yes. Referral may be required.

(855) 427-2776

Certification Number

SUSAN DUBIN-MCNEIL -PRIVATE PRACTICE-

SAN FRANCISCO DURKIN, CARLA

1304C CASTRO ST,

SAN FRANCISCO, CA 94114

Marriage and Family Therapist

CA License Number MFC24407

Other Languages

National Provider ID 1003959131

Accepting New Patients Yes. Referral may be required.

(415) 647-9977

Certification Number

CARLA DURKIN -PRIVATE PRACTICE-

SAN FRANCISCO EDWARDS, MARGARET

529 IRVING ST,

SAN FRANCISCO, CA 94122

Psychologist

CA License Number 10318

Other Languages

National Provider ID 1497816201

Accepting New Patients Yes. Referral may be required.

(415) 681-7515

Certification Number

MARGARET EDWARDS PHD

SAN FRANCISCO ELBL, BARBARA

4333 CALIFORNIA ST

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFT33788

Other Languages

National Provider ID 1356308696

Accepting New Patients Yes. Referral may be required.

(415) 681-1757

Certification Number

BARBARA ELBL -PRIVATE PRACTICE-

Page 227 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO ELITE, ANTHONY

70A SAINT GERMAIN AVE,

SAN FRANCISCO, CA 94114

Psychiatrist

CA License Number C33418

Other Languages GREEK

National Provider ID 1659443067

Accepting New Patients Yes. Referral may be required.

(415) 845-8266

Certification Number

ANTHONY ELITE -PRIVATE PRACTICE-

SAN FRANCISCO FAERSTEIN, BERT

3626 SACRAMENTO ST, STE 3

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY5238

Other Languages

National Provider ID 1457372849

Accepting New Patients Yes. Referral may be required.

(415) 673-1290

Certification Number

BERT FAERSTEIN -PRIVATE PRACTICE-

SAN FRANCISCO FAERSTEIN, BERT

3626 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY00005238

Other Languages

National Provider ID 1457372849

Accepting New Patients Yes. Referral may be required.

(415) 673-1290

Certification Number

BERT FAERSTEIN -PRIVATE PRACTICE-

SAN FRANCISCO FANTACONE, KARI

870 MARKET ST, STE 549

SAN FRANCISCO, CA 94102

Licensed Clinical Social Worker

CA License Number LCS19966

Other Languages NORWEGIAN

National Provider ID 1942440219

Accepting New Patients Yes. Referral may be required.

(415) 706-3722

Certification Number

KARI FANTACONE -PRIVATE PRACTICE-

SAN FRANCISCO FEISTER, WILLIAM

450 SUTTER ST, RM 2100

SAN FRANCISCO, CA 94108

Psychologist

CA License Number PSY5350

Other Languages

National Provider ID 1881894491

Accepting New Patients Yes. Referral may be required.

(415) 205-3412

Certification Number

WILLIAM J FEISTER PHD

SAN FRANCISCO FENOLD, JOAN

1719 UNION ST,

SAN FRANCISCO, CA 94123

Marriage and Family Therapist

CA License Number 20021

Other Languages

National Provider ID 1992893937

Accepting New Patients Yes. Referral may be required.

(415) 848-3272

Certification Number

JOAN FENOLD -PRIVATE PRACTICE-

Page 228 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO FEREN, LAURA

3676 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY27281

Other Languages

National Provider ID 1063892909

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

LAURA FEREN -PRIVATE PRACTICE-

SAN FRANCISCO FEREN, LAURA

3609 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY27281

Other Languages

National Provider ID 1063892909

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

LAURA FEREN -PRIVATE PRACTICE-

SAN FRANCISCO FISHMAN, PAUL

9 WALTER ST,

SAN FRANCISCO, CA 94114

Psychiatrist

CA License Number G55759

Other Languages

National Provider ID 1902953193

Accepting New Patients Yes. Referral may be required.

(415) 552-1290

Certification Number

PAUL FISHMAN -PRIVATE PRACTICE-

SAN FRANCISCO FRANKLIN, LESLIE

1626A UNION ST,

SAN FRANCISCO, CA 94123

Marriage and Family Therapist

CA License Number 20892

Other Languages

National Provider ID 1578610432

Accepting New Patients Yes. Referral may be required.

(415) 567-4661

Certification Number

UNION FAMILY THERAPY CENTER

SAN FRANCISCO FRIEDLANDER, LOIS

3569 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number 27235

Other Languages

National Provider ID 1619216595

Accepting New Patients Yes. Referral may be required.

(415) 383-3337

Certification Number

LOIS FRIEDLANDER -PRIVATE PRACTICE-

SAN FRANCISCO GALICKI, OANA

360 POST ST, STE 1000

SAN FRANCISCO, CA 94108

Psychiatrist

CA License Number 116993

Other Languages

National Provider ID 1477788750

Accepting New Patients Yes. Referral may be required.

(415) 964-5137

Certification Number

OANA GALICKI -PRIVATE PRACTICE-

Page 229 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO GALICKI, OANA

360 POST ST, STE 1001

SAN FRANCISCO, CA 94108

Psychiatrist

CA License Number 116993

Other Languages

National Provider ID 1477788750

Accepting New Patients Yes. Referral may be required.

(415) 681-6819

Certification Number

TMS HEALTH SOLUTIONS

SAN FRANCISCO GALLAND, VICTORIA

55 NEW MONTGOMERY ST, STE 420

SAN FRANCISCO, CA 94105

Psychologist

CA License Number PSY5706

Other Languages

National Provider ID 1891831699

Accepting New Patients Yes. Referral may be required.

(510) 527-6298

Certification Number

VICTORIA GALLAND -PRIVATE PRACTICE-

SAN FRANCISCO GARDNER, JENNIFER

1630 LOMBARD ST,

SAN FRANCISCO, CA 94123

Psychiatrist

CA License Number A130437

Other Languages

National Provider ID 1437417094

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JENNIFER GARDNER -PRIVATE PRACTICE-

SAN FRANCISCO GARDNER, JENNIFER

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number A130437

Other Languages

National Provider ID 1437417094

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JENNIFER GARDNER -PRIVATE PRACTICE-

SAN FRANCISCO GARDNER, JENNIFER

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A130437

Other Languages

National Provider ID 1437417094

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JENNIFER GARDNER -PRIVATE PRACTICE-

SAN FRANCISCO GAYLINN, DANIEL

2084 UNION ST,

SAN FRANCISCO, CA 94123

Psychologist

CA License Number 27204

Other Languages

National Provider ID 1396977302

Accepting New Patients Yes. Referral may be required.

(415) 779-2438

Certification Number

DANIEL GAYLINN -PRIVATE PRACTICE-

Page 230 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO GEER, DANIEL

414 GOUGH ST, STE 6

SAN FRANCISCO, CA 94102

Licensed Clinical Social Worker

CA License Number 19586

Other Languages SPANISH

National Provider ID 1811062680

Accepting New Patients Yes. Referral may be required.

(415) 640-0482

Certification Number

DANIEL GEER -PRIVATE PRACTICE-

SAN FRANCISCO GENTILE, AMY

425 DIVISADERO ST,

SAN FRANCISCO, CA 94117

Psychologist

CA License Number PSY11424

Other Languages

National Provider ID 1962508283

Accepting New Patients Yes. Referral may be required.

(510) 654-5146

Certification Number

AMY GENTILE -PRIVATE PRACTICE-

SAN FRANCISCO GILLEAN, JOHN

360 POST ST, STE 1000

SAN FRANCISCO, CA 94108

Psychiatrist

CA License Number A141657

Other Languages

National Provider ID 1528378460

Accepting New Patients Yes. Referral may be required.

(415) 964-5137

Certification Number

JOHN GILLEAN -PRIVATE PRACTICE-

SAN FRANCISCO GILLEAN, JOHN

350 PARNASSUS AVE, STE 201

SAN FRANCISCO, CA 94117

Psychiatrist

CA License Number A141657

Other Languages

National Provider ID 1528378460

Accepting New Patients Yes. Referral may be required.

(415) 964-5137

Certification Number

JOHN GILLEAN -PRIVATE PRACTICE-

SAN FRANCISCO GILLENSON, RONI

2859 SACRAMENTO ST,

SAN FRANCISCO, CA 94115

Marriage and Family Therapist

CA License Number 40438

Other Languages

National Provider ID 1528264926

Accepting New Patients Yes. Referral may be required.

(415) 810-8270

Certification Number

RONI GILLENSON -PRIVATE PRACTICE-

SAN FRANCISCO GOLDEN, EUGENE

341 SPRUCE ST,

SAN FRANCISCO, CA 94118

Licensed Clinical Social Worker

CA License Number LCS11585

Other Languages

National Provider ID 1760609283

Accepting New Patients Yes. Referral may be required.

(415) 389-9161

Certification Number

EUGENE GOLDEN -PRIVATE PRACTICE-

Page 231 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO GOLDING, STACY

465 CALIFORNIA ST, STE 630

SAN FRANCISCO, CA 94104

Marriage and Family Therapist

CA License Number MFC17336

Other Languages

National Provider ID 1245316793

Accepting New Patients Yes. Referral may be required.

(415) 563-1585

Certification Number

STACY GOLDING -PRIVATE PRACTICE-

SAN FRANCISCO GOLDING, STACY

870 MARKET ST, STE 940

SAN FRANCISCO, CA 94102

Marriage and Family Therapist

CA License Number MFC17336

Other Languages

National Provider ID 1245316793

Accepting New Patients Yes. Referral may be required.

(415) 563-1585

Certification Number

STACY GOLDING -PRIVATE PRACTICE-

SAN FRANCISCO GOLDMAN, ANNETTE

842 CALIFORNIA ST

SAN FRANCISCO, CA 94108

Psychologist

CA License Number PSY23504

Other Languages

National Provider ID 1679891790

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

ANNETTE GOLDMAN -PRIVATE PRACTICE-

SAN FRANCISCO GOLDMAN, ANNETTE

3609 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY23504

Other Languages

National Provider ID 1679891790

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

ANNETTE GOLDMAN -PRIVATE PRACTICE-

SAN FRANCISCO GOLDSMITH, JANE

425 GOUGH ST,

SAN FRANCISCO, CA 94102

Psychologist

CA License Number 4859

Other Languages

National Provider ID 1871631150

Accepting New Patients Yes. Referral may be required.

(415) 346-8186

Certification Number

JANE GOLDSMITH PHD

SAN FRANCISCO GUNTHER, DANIEL

801 PORTOLA DR, STE 207

SAN FRANCISCO, CA 94127

Licensed Clinical Social Worker

CA License Number LCSW 64394

Other Languages SPANISH

National Provider ID 1336427186

Accepting New Patients Yes. Referral may be required.

(415) 326-7295

Certification Number

DANIEL GUNTHER -PRIVATE PRACTICE-

Page 232 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO GURJAO DA SILVEIRA, MARIA GABRIELA

1603 CHURCH ST,

SAN FRANCISCO, CA 94131

Marriage and Family Therapist

CA License Number 46619

Other Languages SPANISH PORTUGUESE

National Provider ID 1376662338

Accepting New Patients Yes. Referral may be required.

(415) 265-1373

Certification Number

MARIA GABRIELA GURJAO DA SILVEIRA -PRI

SAN FRANCISCO GYSENS, SABINE

45 CASTRO ST, STE 200

SAN FRANCISCO, CA 94114

Psychologist

CA License Number 18138

Other Languages DUTCH ITALIAN FRENCH

National Provider ID 1073684064

Accepting New Patients Yes. Referral may be required.

(415) 613-9290

Certification Number

SABINE GYSENS -PRIVATE PRACTICE-

SAN FRANCISCO HAGAMAN, AARON

459 FULTON ST

SAN FRANCISCO, CA 94102

Marriage and Family Therapist

CA License Number MFT60656

Other Languages

National Provider ID 1114297546

Accepting New Patients Yes. Referral may be required.

(415) 580-0136

Certification Number

AARON HAGAMAN -PRIVATE PRACTICE-

SAN FRANCISCO HAMEL, JOHN

1947 DIVISADERO ST, STE 1

SAN FRANCISCO, CA 94115

Licensed Clinical Social Worker

CA License Number 15194

Other Languages

National Provider ID 1548329501

Accepting New Patients Yes. Referral may be required.

(415) 472-3275

Certification Number

JOHN HAMEL -PRIVATE PRACTICE-

SAN FRANCISCO HARTZLER, ALEX

3061 FILLMORE ST,

SAN FRANCISCO, CA 94123

Psychiatrist

CA License Number A119883

Other Languages

National Provider ID 1295001923

Accepting New Patients Yes. Referral may be required.

(415) 292-3440

Certification Number

ALEX HARTZLER -PRIVATE PRACTICE-

SAN FRANCISCO HATCH, KATHARINE

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 20991

Other Languages

National Provider ID 1407114838

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

KATHARINE HATCH -PRIVATE PRACTICE-

Page 233 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO HATCHER, LOUIS

4155 24TH ST,

SAN FRANCISCO, CA 94114

Marriage and Family Therapist

CA License Number MFC43762

Other Languages

National Provider ID 1306035530

Accepting New Patients Yes. Referral may be required.

(415) 505-0179

Certification Number

LOUIS HATCHER -PRIVATE PRACTICE-

SAN FRANCISCO HE, FRANCES

4831 GEARY BLVD,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY18377

Other Languages CHINESE

National Provider ID 1053536722

Accepting New Patients Yes. Referral may be required.

(415) 506-8181

Certification Number

FRANCES HE -PRIVATE PRACTICE-

SAN FRANCISCO HEE, LINDA

5709 GEARY BLVD,

SAN FRANCISCO, CA 94121

Psychologist

CA License Number PSY7083

Other Languages

National Provider ID 1609989466

Accepting New Patients Yes. Referral may be required.

(415) 752-8855

Certification Number

LINDA HEE -PRIVATE PRACTICE-

SAN FRANCISCO HEGARTY, ANMARIE

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Marriage and Family Therapist

CA License Number 45066

Other Languages

National Provider ID 1932231040

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

ANMARIE HEGARTY -PRIVATE PRACTICE-

SAN FRANCISCO HEGARTY, ANMARIE

3676 SACRAMENTO ST, STE J

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number 45066

Other Languages

National Provider ID 1932231040

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

ANMARIE HEGARTY -PRIVATE PRACTICE-

SAN FRANCISCO HEGARTY, ANMARIE

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number 45066

Other Languages

National Provider ID 1932231040

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

ANMARIE HEGARTY -PRIVATE PRACTICE-

Page 234 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO HEIM, PAUL

909 HYDE ST, STE 428

SAN FRANCISCO, CA 94109

Psychiatrist

CA License Number 41167

Other Languages

National Provider ID 1023184710

Accepting New Patients Yes. Referral may be required.

(415) 567-2268

Certification Number

PAUL HEIM -PRIVATE PRACTICE-

SAN FRANCISCO HENNING, DAVID

126 CHURCH ST,

SAN FRANCISCO, CA 94114

Marriage and Family Therapist

CA License Number MFC35469

Other Languages

National Provider ID 1720138209

Accepting New Patients Yes. Referral may be required.

(415) 852-8484

Certification Number

DAVID HENNING -PRIVATE PRACTICE-

SAN FRANCISCO HOLDEN, MARIA

870 MARKET ST, STE 363

SAN FRANCISCO, CA 94102

Psychologist

CA License Number PSY18261

Other Languages CROATIAN SERBIAN SERBOCROATIAN

National Provider ID 1063495646

Accepting New Patients Yes. Referral may be required.

(415) 215-2847

Certification Number

MARIA HOLDEN -PRIVATE PRACTICE-

SAN FRANCISCO HOPPE, CORNELIA

1632 TAYLOR ST, APT 6

SAN FRANCISCO, CA 94133

Marriage and Family Therapist

CA License Number 7072

Other Languages

National Provider ID 1285786301

Accepting New Patients Yes. Referral may be required.

(415) 474-3547

Certification Number

CORNELIA HOPPE -PRIVATE PRACTICE-

SAN FRANCISCO HOUGH, DIANE

351 9TH ST, STE 202

SAN FRANCISCO, CA 94103

Marriage and Family Therapist

CA License Number 32133

Other Languages

National Provider ID 1659686632

Accepting New Patients Yes. Referral may be required.

(415) 312-0744

Certification Number

DIANE HOUGH -PRIVATE PRACTICE-

Page 235 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO HUI, TIM

2222 CLEMENT ST,

SAN FRANCISCO, CA 94121

Marriage and Family Therapist

CA License Number MFC31260

Other Languages

National Provider ID 1184773269

Accepting New Patients Yes. Referral may be required.

(415) 751-5093

Certification Number

TIM HUI -PRIVATE PRACTICE-

SAN FRANCISCO ISENBERG, ELLIOTT

115 SAN JOSE AVE, APT 4

SAN FRANCISCO, CA 94110

Psychologist

CA License Number PSY11202

Other Languages HEBREW

National Provider ID 1003838079

Accepting New Patients Yes. Referral may be required.

(415) 695-0499

Certification Number

ELLIOTT ISENBERG -PRIVATE PRACTICE-

SAN FRANCISCO ISENMAN, DAVID

1801 BUSH ST, STE 222

SAN FRANCISCO, CA 94109

Psychiatrist

CA License Number G333640

Other Languages

National Provider ID 1225071400

Accepting New Patients Yes. Referral may be required.

(415) 310-0286

Certification Number

DAVID M INSENMAN MD INC

SAN FRANCISCO JAGEL, JADU

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 23468

Other Languages

National Provider ID 1003979477

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JADU JAGEL -PRIVATE PRACTICE-

SAN FRANCISCO JAGEL, JADU

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 23468

Other Languages

National Provider ID 1003979477

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JADU JAGEL -PRIVATE PRACTICE-

SAN FRANCISCO JANNETTI, ANTHONY

3841 24TH ST,

SAN FRANCISCO, CA 94114

Psychologist

CA License Number PSY16850

Other Languages

National Provider ID 1902957772

Accepting New Patients Yes. Referral may be required.

(415) 641-0974

Certification Number

ANTHONY JANNETTI -PRIVATE PRACTICE-

Page 236 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO JAROSZ, KATHY

465 CALIFORNIA ST, STE 660

SAN FRANCISCO, CA 94104

Licensed Clinical Social Worker

CA License Number LCS14376

Other Languages

National Provider ID 1326196882

Accepting New Patients Yes. Referral may be required.

(415) 999-4414

Certification Number

KATHY JAROSZ

SAN FRANCISCO JENSEN, MARK

414 GOUGH ST, STE 6

SAN FRANCISCO, CA 94102

Psychologist

CA License Number PSY011204

Other Languages

National Provider ID 1871693457

Accepting New Patients Yes. Referral may be required.

(415) 310-1901

Certification Number

MARK A JENSEN PSYD

SAN FRANCISCO JOHNSON, GRAHAM

3061 FILLMORE ST,

SAN FRANCISCO, CA 94123

Psychiatrist

CA License Number 20A12961

Other Languages

National Provider ID 1669737557

Accepting New Patients Yes. Referral may be required.

(888) 276-6772

Certification Number

GRAHAM JOHNSON -PRIVATE PRACTICE-

SAN FRANCISCO JOYCECHILD, MARIAN

220 MONTGOMERY ST, STE 1081

SAN FRANCISCO, CA 94104

Psychologist

CA License Number PSY12656

Other Languages

National Provider ID 1265525547

Accepting New Patients Yes. Referral may be required.

(415) 346-9466

Certification Number

MARIAN JOYCECHILD -PRIVATE PRACTICE-

SAN FRANCISCO KARMIOL, BONNIE

4093 24TH ST,

SAN FRANCISCO, CA 94114

Licensed Clinical Social Worker

CA License Number LCS16409

Other Languages

National Provider ID 1205980794

Accepting New Patients Yes. Referral may be required.

(915) 830-1833

Certification Number

BONNIE KARMIOL -PRIVATE PRACTICE-

SAN FRANCISCO KARR, RODNEY

290 DIVISADERO ST,

SAN FRANCISCO, CA 94117

Psychologist

CA License Number PSY6906

Other Languages

National Provider ID 1669499273

Accepting New Patients Yes. Referral may be required.

(415) 931-1934

Certification Number

RODNEY G KARR

Page 237 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO KATZ, ISRAEL

2224 FILLMORE ST,

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number G81599

Other Languages SPANISH

National Provider ID 1275557795

Accepting New Patients Yes. Referral may be required.

(415) 673-3125

Certification Number

ISRAEL KATZ -PRIVATE PRACTICE-

SAN FRANCISCO KIM, COLUMBA

2001 UNION ST, STE 300

SAN FRANCISCO, CA 94123

Licensed Clinical Social Worker

CA License Number LCS11978

Other Languages KOREAN

National Provider ID 1780799379

Accepting New Patients Yes. Referral may be required.

(415) 567-1678

Certification Number

COLUMBA KIM -PRIVATE PRACTICE-

SAN FRANCISCO KING, BRIAN

1939 DIVISADERO ST,

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 24607

Other Languages SPANISH

National Provider ID 1942490230

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

BRIAN KING -PRIVATE PRACTICE-

SAN FRANCISCO KLYCE, ELLEN

582 MARKET ST, STE 718

SAN FRANCISCO, CA 94104

Marriage and Family Therapist

CA License Number LMFT43993

Other Languages

National Provider ID 1811147515

Accepting New Patients Yes. Referral may be required.

(510) 414-1537

Certification Number

ELLEN KLYCE -PRIVATE PRACTICE-

SAN FRANCISCO KNUTSON, ALICE

999 SUTTER ST,

SAN FRANCISCO, CA 94109

Marriage and Family Therapist

CA License Number 33030

Other Languages

National Provider ID 1154479376

Accepting New Patients Yes. Referral may be required.

(415) 775-4995

Certification Number

ALICE KNUTSON -PRIVATE PRACTICE-

SAN FRANCISCO KNUTSON, ALICE

870 MARKET ST, STE 756

SAN FRANCISCO, CA 94102

Marriage and Family Therapist

CA License Number 33030

Other Languages

National Provider ID 1154479376

Accepting New Patients Yes. Referral may be required.

(415) 775-4995

Certification Number

ALICE KNUTSON -PRIVATE PRACTICE-

Page 238 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO KOPMAN, MARINA

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 23653

Other Languages

National Provider ID 1710171012

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MARINA KOPMAN -PRIVATE PRACTICE-

SAN FRANCISCO KOPMAN, MARINA

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 23653

Other Languages

National Provider ID 1710171012

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MARINA KOPMAN -PRIVATE PRACTICE-

SAN FRANCISCO KORNGOLD, BEAR

4155 24TH ST,

SAN FRANCISCO, CA 94114

Psychologist

CA License Number 21643

Other Languages

National Provider ID 1376730002

Accepting New Patients Yes. Referral may be required.

(415) 738-8055

Certification Number

DR BEAR KORNGOLD

SAN FRANCISCO KRIEGER, JOSH

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number PSY23643

Other Languages CHINESE MANDARIN

National Provider ID 1922293208

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOSH KRIEGER -PRIVATE PRACTICE-

SAN FRANCISCO KRIEGER, JOSH

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY23643

Other Languages CHINESE MANDARIN

National Provider ID 1922293208

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOSH KRIEGER -PRIVATE PRACTICE-

SAN FRANCISCO KRIEGER, JOSH

3641 SACRAMENTO ST, STE J

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY23643

Other Languages CHINESE MANDARIN

National Provider ID 1922293208

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOSH KRIEGER -PRIVATE PRACTICE-

Page 239 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO KRONENBERG, DENNIELLE

1 HALLIDIE PLZ, 2ND FL

SAN FRANCISCO, CA 94102

Licensed Clinical Social Worker

CA License Number 68250

Other Languages SPANISH

National Provider ID 1760756514

Accepting New Patients Yes. Referral may be required.

(415) 802-5421

Certification Number

DENNIELLE KRONENBERG -PRIVATE PRACT

SAN FRANCISCO KUEGLE, SUNNY

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 20852

Other Languages

National Provider ID 1427254556

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SUNNY KUEGLE -PRIVATE PRACTICE-

SAN FRANCISCO KUEGLE, SUNNY

3569 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 20852

Other Languages

National Provider ID 1427254556

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SUNNY KUEGLE -PRIVATE PRACTICE-

SAN FRANCISCO KUEGLE, SUNNY

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 20852

Other Languages

National Provider ID 1427254556

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SUNNY KUEGLE -PRIVATE PRACTICE-

SAN FRANCISCO KUGLER, DANIEL

1526 FRANKLIN ST, STE 202

SAN FRANCISCO, CA 94109

Marriage and Family Therapist

CA License Number MFC5871

Other Languages

National Provider ID 1306836838

Accepting New Patients Yes. Referral may be required.

(650) 385-8227

Certification Number

DANIEL KUGLER -PRIVATE PRACTICE-

SAN FRANCISCO KURPINSKY, MAUREEN

55 NEW MONTGOMERY ST, STE 701

SAN FRANCISCO, CA 94105

Psychologist

CA License Number PSY14586

Other Languages

National Provider ID 1053484618

Accepting New Patients Yes. Referral may be required.

(415) 957-0927

Certification Number

MAUREEN KURPINSKY PHD

Page 240 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO LAI, DAVID

582 MARKET ST, STE 1603

SAN FRANCISCO, CA 94104

Psychologist

CA License Number 17205

Other Languages

National Provider ID 1659417012

Accepting New Patients Yes. Referral may be required.

(415) 608-7092

Certification Number

DAVID LAI -PRIVATE PRACTICE-

SAN FRANCISCO LANOCHA, KARL

350 PARNASSUS AVE, STE 201

SAN FRANCISCO, CA 94117

Psychiatrist

CA License Number C56068

Other Languages

National Provider ID 1992742365

Accepting New Patients Yes. Referral may be required.

(415) 964-5137

Certification Number

KARL LANOCHA -PRIVATE PRACTICE-

SAN FRANCISCO LARKIN, MARIAH

3972 24TH ST,

SAN FRANCISCO, CA 94114

Marriage and Family Therapist

CA License Number MFT27311

Other Languages

National Provider ID 1457486037

Accepting New Patients Yes. Referral may be required.

(415) 826-7308

Certification Number

MARIAH LARKIN -PRIVATE PRACTICE-

SAN FRANCISCO LEAFFER, BARBARA

2154 BRODERICK ST,

SAN FRANCISCO, CA 94115

Licensed Clinical Social Worker

CA License Number 22111

Other Languages RUSSIAN POLISH FRENCH

National Provider ID 1649347204

Accepting New Patients Yes. Referral may be required.

(415) 246-5834

Certification Number

BARBARA LEAFFER -PRIVATE PRACTICE-

SAN FRANCISCO LEE, RONALD

3061 FILLMORE ST,

SAN FRANCISCO, CA 94123

Psychiatrist

CA License Number A125429

Other Languages

National Provider ID 1871759761

Accepting New Patients Yes. Referral may be required.

(415) 292-3440

Certification Number

RONALD LEE -PRIVATE PRACTICE-

SAN FRANCISCO LERCHIN, HARVEY

755 SANSOME ST, STE 100

SAN FRANCISCO, CA 94111

Psychiatrist

CA License Number C37728

Other Languages

National Provider ID 1316057904

Accepting New Patients Yes. Referral may be required.

(415) 382-0977

Certification Number

HARVEY LERCHIN -PRIVATE PRACTICE-

Page 241 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO LEUNG, AMY

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number 118161

Other Languages

National Provider ID 1912141300

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

AMY LEUNG -PRIVATE PRACTICE-

SAN FRANCISCO LEUNG, AMY

3129 FILLMORE ST,

SAN FRANCISCO, CA 94123

Psychiatrist

CA License Number 118161

Other Languages

National Provider ID 1912141300

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

AMY LEUNG -PRIVATE PRACTICE-

SAN FRANCISCO LEUNG, AMY

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number 118161

Other Languages

National Provider ID 1912141300

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

AMY LEUNG -PRIVATE PRACTICE-

SAN FRANCISCO LEVINE, CRAIG

582 MARKET ST, STE 309

SAN FRANCISCO, CA 94104

Psychologist

CA License Number 21757

Other Languages

National Provider ID 1811174766

Accepting New Patients Yes. Referral may be required.

(415) 845-5897

Certification Number

CRAIG LEE LEVINE PSYD

SAN FRANCISCO LEVINE, MURRAY

55 NEW MONTGOMERY ST, STE 420

SAN FRANCISCO, CA 94105

Psychologist

CA License Number PSY9549

Other Languages

National Provider ID 1558434746

Accepting New Patients Yes. Referral may be required.

(415) 995-9888

Certification Number

MURRAY LEVINE -PRIVATE PRACTICE-

SAN FRANCISCO LEVY ALBERT, SALLY

626 BALBOA ST,

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFC29828

Other Languages

National Provider ID 1730271925

Accepting New Patients Yes. Referral may be required.

(415) 533-8922

Certification Number

SALLY LEVY ALBERT MFT

Page 242 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO LEWIS, ELIZABETH

3569 SACRAMENTO STREET,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number C038156

Other Languages

National Provider ID 1790887487

Accepting New Patients Yes. Referral may be required.

(415) 776-4664

Certification Number

ELIZABETH M LEWIS MD

SAN FRANCISCO LEWIS, NANCY

582 MARKET ST, STE 417

SAN FRANCISCO, CA 94104

Marriage and Family Therapist

CA License Number MFC21604

Other Languages

National Provider ID 1518980333

Accepting New Patients Yes. Referral may be required.

(415) 861-6681

Certification Number

NANCY PAYNE LEWIS MA MFT

SAN FRANCISCO LEYVA, RUBY

2120 MARKET ST, STE 209

SAN FRANCISCO, CA 94114

Marriage and Family Therapist

CA License Number 52571

Other Languages

National Provider ID 1992850788

Accepting New Patients Yes. Referral may be required.

(415) 647-1886

Certification Number

RUBY LEYVA -PRIVATE PRACTICE-

SAN FRANCISCO LIEBERMAN, MARGEAUX

235 MONTGOMERY ST, STE 830

SAN FRANCISCO, CA 94104

Psychologist

CA License Number PSY2007

Other Languages

National Provider ID 1356596555

Accepting New Patients Yes. Referral may be required.

(510) 289-4812

Certification Number

MARGEAUX LIEBERMAN -PRIVATE PRACTIC

SAN FRANCISCO LIUSKA, CYNTHIA

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Marriage and Family Therapist

CA License Number 40169

Other Languages

National Provider ID 1093901688

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

CYNTHIA LIUSKA -PRIVATE PRACTICE-

SAN FRANCISCO LYDDANE, MOLLIE

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 24783

Other Languages

National Provider ID 1346679404

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MOLLIE LYDDANE -PRIVATE PRACTICE-

Page 243 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO MA, NATALIE

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 25231

Other Languages

National Provider ID 1477710754

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

NATALIE MA -PRIVATE PRACTICE-

SAN FRANCISCO MA, NATALIE

1947 DIVISADERO ST,

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 25231

Other Languages

National Provider ID 1477710754

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

NATALIE MA -PRIVATE PRACTICE-

SAN FRANCISCO MA, NATALIE

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 25231

Other Languages

National Provider ID 1477710754

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

NATALIE MA -PRIVATE PRACTICE-

SAN FRANCISCO MACRAE, FRANCIS

3637 SACRAMENTO ST, STE F

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFC36762

Other Languages

National Provider ID 1487689444

Accepting New Patients Yes. Referral may be required.

(415) 602-2002

Certification Number

FRANCIS MACRAE -PRIVATE PRACTICE-

SAN FRANCISCO MANOTAS, MANUEL

2169 UNION ST, STE 3

SAN FRANCISCO, CA 94123

Psychologist

CA License Number 26343

Other Languages SPANISH

National Provider ID 1093962185

Accepting New Patients Yes. Referral may be required.

(415) 547-0608

Certification Number

MANUEL MANOTAS -PRIVATE PRACTICE-

SAN FRANCISCO MARCUS, CAROLE

3403 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Licensed Clinical Social Worker

CA License Number LCS5536

Other Languages

National Provider ID 1730298415

Accepting New Patients Yes. Referral may be required.

(415) 474-9644

Certification Number

CAROLE J MARCUS LCSW

Page 244 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO MARGIOTTI, MARILYN

235 MONTGOMERY ST, STE 1020

SAN FRANCISCO, CA 94104

Psychologist

CA License Number PSY11796

Other Languages

National Provider ID 1215080171

Accepting New Patients Yes. Referral may be required.

(415) 433-9438

Certification Number

MARILYN MARGIOTTI -PRIVATE PRACTICE-

SAN FRANCISCO MARIS, JOHN

18 CHENERY ST,

SAN FRANCISCO, CA 94131

Psychologist

CA License Number 22350

Other Languages

National Provider ID 1316271125

Accepting New Patients Yes. Referral may be required.

(415) 676-0632

Certification Number

JOHN MARIS -PRIVATE PRACTICE-

SAN FRANCISCO MARQUEZ, MITCHELL

110 GOUGH ST, STE 201B

SAN FRANCISCO, CA 94102

Licensed Clinical Social Worker

CA License Number LCS00012745

Other Languages

National Provider ID 1215092945

Accepting New Patients Yes. Referral may be required.

(415) 995-2377

Certification Number

MITCHELL MARQUEZ LCSW

SAN FRANCISCO MARTIN, KENNETH

564 MARKET ST, STE 222

SAN FRANCISCO, CA 94104

Marriage and Family Therapist

CA License Number MFC00035253

Other Languages

National Provider ID 1245261809

Accepting New Patients Yes. Referral may be required.

(415) 902-4806

Certification Number

KENNETH MARTIN -PRIVATE PRACTICE-

SAN FRANCISCO MARTINEZ, ESPERANZA

3974 24TH ST,

SAN FRANCISCO, CA 94114

Licensed Clinical Social Worker

CA License Number LCS7912

Other Languages SPANISH

National Provider ID 1861565228

Accepting New Patients Yes. Referral may be required.

(415) 647-2258

Certification Number

ESPERANZA A MARTINEZ LCSW

SAN FRANCISCO MAY, DANIEL

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number G064380

Other Languages

National Provider ID 1205873809

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

DANIEL MAY -PRIVATE PRACTICE-

Page 245 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO MAY, DANIEL

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number G064380

Other Languages

National Provider ID 1205873809

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

DANIEL MAY -PRIVATE PRACTICE-

SAN FRANCISCO MCCARVER, JUDY

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A83554

Other Languages

National Provider ID 1255320818

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JUDY MCCARVER -PRIVATE PRACTICE-

SAN FRANCISCO MCDERMIT, W CRAIG

1855 HAYES ST,

SAN FRANCISCO, CA 94117

Psychologist

CA License Number PSY00007251

Other Languages

National Provider ID 1063479251

Accepting New Patients Yes. Referral may be required.

(415) 776-9200

Certification Number

W CRAIG MCDERMIT PHD

SAN FRANCISCO MCKINLEY, RONI

1122 CLEMENT ST,

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number 87622

Other Languages

National Provider ID 1023487725

Accepting New Patients Yes. Referral may be required.

(415) 308-4243

Certification Number

RONI MCKINLEY -PRIVATE PRACTICE-

SAN FRANCISCO MCLAUGHLIN, JOHN

295 FELL ST, STE A

SAN FRANCISCO, CA 94102

Psychologist

CA License Number 20559

Other Languages

National Provider ID 1831314863

Accepting New Patients Yes. Referral may be required.

(415) 861-7690

Certification Number

JOHN MCLAUGHLIN -PRIVATE PRACTICE-

SAN FRANCISCO MCNEAL, SHIRLEY

425 GOUGH ST

SAN FRANCISCO, CA 94102

Psychologist

CA License Number PSY003987

Other Languages

National Provider ID 1194822999

Accepting New Patients Yes. Referral may be required.

(415) 346-8186

Certification Number

SHIRLEY A MCNEAL, PHD LICENSED PSYCH

Page 246 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO MICHELSON, GOLDA

4237 GEARY BLVD

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFC13435

Other Languages

National Provider ID 1104858679

Accepting New Patients Yes. Referral may be required.

(415) 456-4452

Certification Number

GOLDA MICHELSON -PRIVATE PRACTICE-

SAN FRANCISCO MILLER, BATYA

2426 18TH AVE,

SAN FRANCISCO, CA 94116

Licensed Clinical Social Worker

CA License Number LCS00006174

Other Languages

National Provider ID 1093728875

Accepting New Patients Yes. Referral may be required.

(650) 355-2102

Certification Number

BATYA MILLER -PRIVATE PRACTICE-

SAN FRANCISCO MILLER, BATYA

314 HARRIET ST, STE 203

SAN FRANCISCO, CA 94103

Licensed Clinical Social Worker

CA License Number LCS00006174

Other Languages

National Provider ID 1093728875

Accepting New Patients Yes. Referral may be required.

(650) 355-2102

Certification Number

BATYA MILLER -PRIVATE PRACTICE-

SAN FRANCISCO MILLS, CAROL

3890 24TH ST,

SAN FRANCISCO, CA 94114

Licensed Clinical Social Worker

CA License Number LCS13712

Other Languages

National Provider ID 1851462568

Accepting New Patients Yes. Referral may be required.

(415) 584-1708

Certification Number

CAROL MILLS -PRIVATE PRACTICE-

SAN FRANCISCO MOORE, AMY

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 23805

Other Languages

National Provider ID 1629115472

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

AMY MOORE -PRIVATE PRACTICE-

SAN FRANCISCO MOORE, KATHERINE

1197 VALENCIA ST,

SAN FRANCISCO, CA 94110

Marriage and Family Therapist

CA License Number MFC52370

Other Languages

National Provider ID 1770906349

Accepting New Patients Yes. Referral may be required.

(510) 383-1939

Certification Number

KATHERINE MOORE -PRIVATE PRACTICE-

Page 247 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO MOWDAY, ELAINE

220 MONTGOMERY ST, STE 1800

SAN FRANCISCO, CA 94104

Psychologist

CA License Number PSY8048

Other Languages

National Provider ID 1073658381

Accepting New Patients Yes. Referral may be required.

(415) 781-1902

Certification Number

ELAINE MOWDAY -PRIVATE PRACTICE-

SAN FRANCISCO NEHRA, VEDIKA

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number 140501

Other Languages

National Provider ID 1548580384

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

VEDIKA NEHRA -PRIVATE PRACTICE-

SAN FRANCISCO NEHRA, VEDIKA

3611 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number 140501

Other Languages

National Provider ID 1548580384

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

VEDIKA NEHRA -PRIVATE PRACTICE-

SAN FRANCISCO NEHRA, VEDIKA

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number 140501

Other Languages

National Provider ID 1548580384

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

VEDIKA NEHRA -PRIVATE PRACTICE-

SAN FRANCISCO NGUYEN, MINH

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number A125388

Other Languages VIETNAMESE

National Provider ID 1851731889

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MINH NGUYEN -PRIVATE PRACTICE-

SAN FRANCISCO NOONAN, LYNN

2169 UNION ST,

SAN FRANCISCO, CA 94123

Psychologist

CA License Number PSY11818

Other Languages

National Provider ID 1083719470

Accepting New Patients Yes. Referral may be required.

(415) 383-8498

Certification Number

LYNN NOONAN -PRIVATE PRACTICE-

Page 248 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO NOTOR, RALPH

55 NEW MONTGOMERY ST, STE 420

SAN FRANCISCO, CA 94105

Marriage and Family Therapist

CA License Number 35208

Other Languages

National Provider ID 1518931864

Accepting New Patients Yes. Referral may be required.

(415) 260-6409

Certification Number

RALPH NOTOR -PRIVATE PRACTICE-

SAN FRANCISCO NZEREM, IFEYINWA

538 HAYES ST,

SAN FRANCISCO, CA 94102

Licensed Clinical Social Worker

CA License Number 25252

Other Languages

National Provider ID 1689872715

Accepting New Patients Yes. Referral may be required.

(415) 225-4128

Certification Number

HEALTHY BEGINNINGS PSYCHOTHERA

SAN FRANCISCO NZEREM, IFEYINWA

538 HAYES ST,

SAN FRANCISCO, CA 94102

Licensed Clinical Social Worker

CA License Number 25252

Other Languages

National Provider ID 1689872715

Accepting New Patients Yes. Referral may be required.

(415) 225-4128

Certification Number

IFEYINWA NZEREM -PRIVATE PRACTICE-

SAN FRANCISCO O NEAL, HARRIET

55 NEW MONTGOMERY ST, STE 420

SAN FRANCISCO, CA 94105

Psychologist

CA License Number PSY8301

Other Languages

National Provider ID 1992827620

Accepting New Patients Yes. Referral may be required.

(415) 512-7002

Certification Number

HARRIET O NEAL -PRIVATE PRACTICE-

SAN FRANCISCO O'CONNELL, LESLIE

3368 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 18629

Other Languages

National Provider ID 1558453589

Accepting New Patients Yes. Referral may be required.

(415) 269-4481

Certification Number

LESLIE O'CONNELL -PRIVATE PRACTICE-

SAN FRANCISCO OGAMI, DAVID

3527 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number G63399

Other Languages

National Provider ID 1699841809

Accepting New Patients Yes. Referral may be required.

(415) 775-0781

Certification Number

DAVID OGAMI -PRIVATE PRACTICE-

Page 249 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO OLSEN, AKIRA

388 MARKET ST, STE 1010

SAN FRANCISCO, CA 94111

Psychologist

CA License Number 23573

Other Languages JAPANESE

National Provider ID 1093910184

Accepting New Patients Yes. Referral may be required.

(415) 508-7798

Certification Number

AKIRA OLSEN -PRIVATE PRACTICE-

SAN FRANCISCO ORGEL, LING

2485 CLAY ST, STE 103

SAN FRANCISCO, CA 94115

Psychologist

CA License Number PSY00017218

Other Languages MANDARIN

National Provider ID 1225005283

Accepting New Patients Yes. Referral may be required.

(415) 775-5998

Certification Number

LING ORGEL -PRIVATE PRACTICE-

SAN FRANCISCO ORMA, STEVEN

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 23785

Other Languages

National Provider ID 1801914825

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

STEVEN ORMA -PRIVATE PRACTICE-

SAN FRANCISCO ORMA, STEVEN

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 23785

Other Languages

National Provider ID 1801914825

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

STEVEN ORMA -PRIVATE PRACTICE-

SAN FRANCISCO ORMA, STEVEN

1630 LOMBARD ST,

SAN FRANCISCO, CA 94123

Psychologist

CA License Number 23785

Other Languages

National Provider ID 1801914825

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

STEVEN ORMA -PRIVATE PRACTICE-

SAN FRANCISCO PAUL, GAYLE

423 GOUGH ST,

SAN FRANCISCO, CA 94102

Marriage and Family Therapist

CA License Number MFT37825

Other Languages

National Provider ID 1386793750

Accepting New Patients Yes. Referral may be required.

(415) 412-9674

Certification Number

GAYLE PAUL -PRIVATE PRACTICE-

Page 250 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO PERRY, MARIA

3676 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY28399

Other Languages

National Provider ID 1477748598

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MARIA PERRY -PRIVATE PRACTICE-

SAN FRANCISCO PFIRRMANN, GEORGE

870 MARKET ST, STE 624

SAN FRANCISCO, CA 94102

Licensed Clinical Social Worker

CA License Number LCS00011402

Other Languages

National Provider ID 1356368906

Accepting New Patients Yes. Referral may be required.

(415) 788-1321

Certification Number

GEORGE PFIRRMANN -PRIVATE PRACTICE-

SAN FRANCISCO PFIRRMANN, GEORGE

870 MARKET ST, STE 624

SAN FRANCISCO, CA 94102

Licensed Clinical Social Worker

CA License Number LCS00011402

Other Languages

National Provider ID 1356368906

Accepting New Patients Yes. Referral may be required.

(415) 788-1321

Certification Number

GEORGE PFIRRMANN LCSW

SAN FRANCISCO PIZARRO, ERIKA

2019 WEBSTER ST,

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number 138289

Other Languages

National Provider ID 1619238417

Accepting New Patients Yes. Referral may be required.

(855) 427-2778

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

SAN FRANCISCO PIZARRO, ERIKA

3061 FILLMORE ST,

SAN FRANCISCO, CA 94123

Psychiatrist

CA License Number 138289

Other Languages

National Provider ID 1619238417

Accepting New Patients Yes. Referral may be required.

(888) 276-6772

Certification Number

ERIKA PIZARRO -PRIVATE PRACTICE-

SAN FRANCISCO PLEANER, ALLAN

946 IRVING ST,

SAN FRANCISCO, CA 94122

Marriage and Family Therapist

CA License Number MFT24606

Other Languages

National Provider ID 1124160858

Accepting New Patients Yes. Referral may be required.

(415) 468-2627

Certification Number

ALLAN PLEANER -PRIVATE PRACTICE-

Page 251 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO PLYMALE, WILLIAM

2100 WEBSTER ST, STE 100

SAN FRANCISCO, CA 94115

Licensed Clinical Social Worker

CA License Number 24109

Other Languages AFRICAN

National Provider ID 1649347287

Accepting New Patients Yes. Referral may be required.

(415) 310-4866

Certification Number

WILLIAM PLYMALE -PRIVATE PRACTICE-

SAN FRANCISCO PLYMALE, WILLIAM

350 TOWNSEND ST, # 636

SAN FRANCISCO, CA 94107

Licensed Clinical Social Worker

CA License Number 24109

Other Languages AFRICAN

National Provider ID 1649347287

Accepting New Patients Yes. Referral may be required.

(415) 310-4866

Certification Number

WILLIAM PLYMALE -PRIVATE PRACTICE-

SAN FRANCISCO POGODINA, ASYA

2645 OCEAN AVE, STE 206

SAN FRANCISCO, CA 94132

Licensed Clinical Social Worker

CA License Number LCS51838

Other Languages RUSSIAN

National Provider ID 1275762197

Accepting New Patients Yes. Referral may be required.

(415) 377-3206

Certification Number

ASYA POGODINA -PRIVATE PRACTICE-

SAN FRANCISCO POON, MARY

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number PSY27220

Other Languages

National Provider ID 1871971937

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MARY POON -PRIVATE PRACTICE-

SAN FRANCISCO POON, MARY

3609 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY27220

Other Languages

National Provider ID 1871971937

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MARY POON -PRIVATE PRACTICE-

SAN FRANCISCO POON, MARY

3676 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY27220

Other Languages

National Provider ID 1871971937

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MARY POON -PRIVATE PRACTICE-

Page 252 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO POPPERS, MAURINE

86 STRATFORD DR,

SAN FRANCISCO, CA 94132

Marriage and Family Therapist

CA License Number 14218

Other Languages

National Provider ID 1912925801

Accepting New Patients Yes. Referral may be required.

(415) 585-5693

Certification Number

MAURINE POPPERS LMFT

SAN FRANCISCO PORTNOY, BENNETT

2000 VAN NESS AVE, STE 506

SAN FRANCISCO, CA 94109

Marriage and Family Therapist

CA License Number 22418

Other Languages

National Provider ID 1407844863

Accepting New Patients Yes. Referral may be required.

(415) 816-5858

Certification Number

BENNETT PORTNOY -PRIVATE PRACTICE-

SAN FRANCISCO POWERS, CHRISTINA

582 MARKET ST,

SAN FRANCISCO, CA 94104

Licensed Clinical Social Worker

CA License Number LCS66319

Other Languages

National Provider ID 1487108247

Accepting New Patients Yes. Referral may be required.

(650) 761-1231

Certification Number

CHRISTINA POWERS -PRIVATE PRACTICE-

SAN FRANCISCO RABIN, JACK

640 14TH ST,

SAN FRANCISCO, CA 94114

Licensed Clinical Social Worker

CA License Number LCSW7946

Other Languages

National Provider ID 1992728174

Accepting New Patients Yes. Referral may be required.

(415) 721-3830

Certification Number

JACK RABIN LCSW

SAN FRANCISCO RAY, MELANIE

1947 DIVISADERO ST

SAN FRANCISCO, CA 94115

Marriage and Family Therapist

CA License Number MFC54047

Other Languages

National Provider ID 1770908790

Accepting New Patients Yes. Referral may be required.

(415) 742-1267

Certification Number

MELANIE RAY -PRIVATE PRACTICE-

SAN FRANCISCO REISS, ARLENE

3626 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFC29227

Other Languages

National Provider ID 1104933324

Accepting New Patients Yes. Referral may be required.

(415) 721-4468

Certification Number

ARLENE REISS -PRIVATE PRACTICE-

Page 253 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO REISS, MARGARET

844 CALIFORNIA ST,

SAN FRANCISCO, CA 94108

Licensed Clinical Social Worker

CA License Number LCS00004541

Other Languages

National Provider ID 1922170497

Accepting New Patients Yes. Referral may be required.

(415) 986-4989

Certification Number

MARGARET REISS

SAN FRANCISCO REYNOLDS, WILLIAM

409 LINCOLN WAY

SAN FRANCISCO, CA 94122

Psychologist

CA License Number PSY26015

Other Languages

National Provider ID 1154782167

Accepting New Patients Yes. Referral may be required.

(415) 218-3850

Certification Number

WILLIAM REYNOLDS -PRIVATE PRACTICE-

SAN FRANCISCO RILEY, SEAN

207A SANCHEZ ST,

SAN FRANCISCO, CA 94114

Psychologist

CA License Number 19279

Other Languages

National Provider ID 1528155587

Accepting New Patients Yes. Referral may be required.

(415) 948-4454

Certification Number

SEAN RILEY -PRIVATE PRACTICE-

SAN FRANCISCO RIOPELLE, ROBERT

399 LAUREL ST, STE 10

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A21700

Other Languages

National Provider ID 1629155254

Accepting New Patients Yes. Referral may be required.

(415) 922-2028

Certification Number

ROBERT RIOPELLE -PRIVATE PRACTICE-

SAN FRANCISCO RIOPELLE, ROBERT

399 LAUREL ST, STE 10

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A21700

Other Languages

National Provider ID 1629155254

Accepting New Patients Yes. Referral may be required.

(415) 922-2028

Certification Number

ROBERT RIOPELLE -PRIVATE PRACTICE-

SAN FRANCISCO RISCHETTE, RANDY

3663 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A00055492

Other Languages

National Provider ID 1467679258

Accepting New Patients Yes. Referral may be required.

(415) 345-1605

Certification Number

RANDY RISCHETTE

Page 254 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO ROBBINS, JULIE

189 MAGNOLIA ST,

SAN FRANCISCO, CA 94123

Licensed Clinical Social Worker

CA License Number 9552

Other Languages

National Provider ID 1740417724

Accepting New Patients Yes. Referral may be required.

(415) 923-0775

Certification Number

JULIE ROBBINS -PRIVATE PRACTICE-

SAN FRANCISCO RODRIGUEZ, ROMAN

55 NEW MONTGOMERY ST, STE 708

SAN FRANCISCO, CA 94105

Psychiatrist

CA License Number G38805

Other Languages SPANISH

National Provider ID 1568484863

Accepting New Patients Yes. Referral may be required.

(415) 227-4600

Certification Number

ROMAN RODRIGUEZ -PRIVATE PRACTICE-

SAN FRANCISCO ROHLFES, RON

2171 UNION ST, STE 3

SAN FRANCISCO, CA 94123

Marriage and Family Therapist

CA License Number MFC00034396

Other Languages

National Provider ID 1467679290

Accepting New Patients Yes. Referral may be required.

(415) 273-1024

Certification Number

RON ROHLFES -PRIVATE PRACTICE-

SAN FRANCISCO ROONEY, JENNIFER

1939 DIVISADERO ST

SAN FRANCISCO, CA 94115

Psychologist

CA License Number PSY25756

Other Languages

National Provider ID 1649338542

Accepting New Patients Yes. Referral may be required.

(510) 868-2526

Certification Number

JENNIFER ROONEY -PRIVATE PRACTICE-

SAN FRANCISCO ROSCA, DANA

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A118458

Other Languages FRENCH

National Provider ID 1518125624

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

DANA ROSCA -PRIVATE PRACTICE-

SAN FRANCISCO ROSCA, DANA

1939 DIVISADERO ST, SUITE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number A118458

Other Languages FRENCH

National Provider ID 1518125624

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

DANA ROSCA -PRIVATE PRACTICE-

Page 255 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO ROSE, CATHERINE

3150 18TH ST, #549

SAN FRANCISCO, CA 94110

Psychologist

CA License Number 24108

Other Languages

National Provider ID 1740206218

Accepting New Patients Yes. Referral may be required.

(415) 505-2917

Certification Number

CATHERINE ROSE -PRIVATE PRACTICE-

SAN FRANCISCO ROSS, JUDITH

450 SUTTER ST, RM 2100

SAN FRANCISCO, CA 94108

Licensed Clinical Social Worker

CA License Number LCS4111

Other Languages

National Provider ID 1538218722

Accepting New Patients Yes. Referral may be required.

(415) 706-2077

Certification Number

JUDITH ROSS -PRIVATE PRACTICE-

SAN FRANCISCO SACHS, LEWIS

422 JUDAH ST, STE 201

SAN FRANCISCO, CA 94122

Psychologist

CA License Number PSY3107

Other Languages

National Provider ID 1750497814

Accepting New Patients Yes. Referral may be required.

(415) 664-1080

Certification Number

LEWIS SACHS -PRIVATE PRACTICE-

SAN FRANCISCO SALATICH, SANDRA

3626 SACRAMENTO ST, STE 5

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY26530

Other Languages

National Provider ID 1578957023

Accepting New Patients Yes. Referral may be required.

(415) 346-6266

Certification Number

SANDRA SALATICH -PRIVATE PRACTICE-

SAN FRANCISCO SASAKI, CHIAKI

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 22655

Other Languages

National Provider ID 1093855918

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

CHIAKI SASAKI -PRIVATE PRACTICE-

SAN FRANCISCO SASAKI, CHIAKI

3129 FILLMORE ST,

SAN FRANCISCO, CA 94123

Psychologist

CA License Number 22655

Other Languages

National Provider ID 1093855918

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

CHIAKI SASAKI -PRIVATE PRACTICE-

Page 256 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO SASAKI, CHIAKI

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 22655

Other Languages

National Provider ID 1093855918

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

CHIAKI SASAKI -PRIVATE PRACTICE-

SAN FRANCISCO SAYER, TRUTH

2275 MARKET ST, STE C

SAN FRANCISCO, CA 94114

Marriage and Family Therapist

CA License Number 41178

Other Languages AMERICAN SIGN LANGUAGE CHINESE

National Provider ID 1447329271

Accepting New Patients Yes. Referral may be required.

(415) 686-1193

Certification Number

TRUTH SAYER -PRIVATE PRACTICE-

SAN FRANCISCO SCHERILLO, GIANCARLO

1122 CLEMENT ST

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFC87392

Other Languages

National Provider ID 1255716148

Accepting New Patients Yes. Referral may be required.

(415) 763-7364

Certification Number

GIANCARLO SCHERILLO -PRIVATE PRACTIC

SAN FRANCISCO SCHICK, JOHN

3641 SACRAMENTO ST, STE J

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 15510

Other Languages

National Provider ID 1881838423

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOHN SCHICK -PRIVATE PRACTICE-

SAN FRANCISCO SCHICK, JOHN

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 15510

Other Languages

National Provider ID 1881838423

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOHN SCHICK -PRIVATE PRACTICE-

Page 257 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO SCHMIDT, TRACY

1700 PIERCE ST, STE 404

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 14438

Other Languages

National Provider ID 1275887903

Accepting New Patients Yes. Referral may be required.

(415) 995-2327

Certification Number

TRACY SCHMIDT -PRIVATE PRACTICE-

SAN FRANCISCO SCHOCHET, RACHEL

436 EUREKA ST,

SAN FRANCISCO, CA 94114

Psychologist

CA License Number 14418

Other Languages

National Provider ID 1487742987

Accepting New Patients Yes. Referral may be required.

(415) 641-1292

Certification Number

RACHEL SCHOCHET -PRIVATE PRACTICE-

SAN FRANCISCO SCHUSTER, LEE

150 SUTTER ST, UNIT 120

SAN FRANCISCO, CA 94104

Licensed Clinical Social Worker

CA License Number 25058

Other Languages SPANISH

National Provider ID 1669799946

Accepting New Patients Yes. Referral may be required.

(888) 657-4456

Certification Number

LEE SCHUSTER -PRIVATE PRACTICE-

SAN FRANCISCO SCHUSTER, LEE

744 MONTGOMERY ST, STE 400

SAN FRANCISCO, CA 94111

Licensed Clinical Social Worker

CA License Number 25058

Other Languages SPANISH

National Provider ID 1669799946

Accepting New Patients Yes. Referral may be required.

(415) 989-5000

Certification Number

LEE SCHUSTER -PRIVATE PRACTICE-

SAN FRANCISCO SCHUSTER, LEE

999 SUTTER ST,

SAN FRANCISCO, CA 94109

Licensed Clinical Social Worker

CA License Number 25058

Other Languages SPANISH

National Provider ID 1669799946

Accepting New Patients Yes. Referral may be required.

(415) 203-5711

Certification Number

LEE SCHUSTER -PRIVATE PRACTICE-

SAN FRANCISCO SHARROCK, SALLY

870 MARKET ST, STE 876

SAN FRANCISCO, CA 94102

Marriage and Family Therapist

CA License Number MFC40436

Other Languages

National Provider ID 1871620542

Accepting New Patients Yes. Referral may be required.

(408) 608-4942

Certification Number

SALLY SHARROCK -PRIVATE PRACTICE-

Page 258 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO SHEININ, BORIS

3609 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY18725

Other Languages RUSSIAN

National Provider ID 1558389593

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

BORIS SHEININ -PRIVATE PRACTICE-

SAN FRANCISCO SHEININ, BORIS

1630 LOMBARD ST

SAN FRANCISCO, CA 94123

Psychologist

CA License Number PSY18725

Other Languages RUSSIAN

National Provider ID 1558389593

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

BORIS SHEININ -PRIVATE PRACTICE-

SAN FRANCISCO SHERIFF, SARA

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number A112142

Other Languages

National Provider ID 1891081535

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SARA SHERIFF -PRIVATE PRACTICE-

SAN FRANCISCO SHERMAN, SETH

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number A124342

Other Languages

National Provider ID 1831331628

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SETH SHERMAN -PRIVATE PRACTICE-

SAN FRANCISCO SHERMAN, SETH

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A124342

Other Languages

National Provider ID 1831331628

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SETH SHERMAN -PRIVATE PRACTICE-

SAN FRANCISCO SINGH, ANOOPINDER

2019 WEBSTER ST

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number A128494

Other Languages HINDI

National Provider ID 1679703334

Accepting New Patients Yes. Referral may be required.

(855) 427-2778

Certification Number

ANOOPINDER SINGH -PRIVATE PRACTICE-

Page 259 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO SINGH, INDROJIT

235 MONTGOMERY ST, STE 1020

SAN FRANCISCO, CA 94104

Psychologist

CA License Number PSY9925

Other Languages

National Provider ID 1891998449

Accepting New Patients Yes. Referral may be required.

(415) 924-7644

Certification Number

INDROJIT SINGH -PRIVATE PRACTICE-

SAN FRANCISCO SIPSER, RICHARD

1801 BUSH ST, STE 131H

SAN FRANCISCO, CA 94109

Licensed Clinical Social Worker

CA License Number 23239

Other Languages SPANISH

National Provider ID 1528137627

Accepting New Patients Yes. Referral may be required.

(415) 835-2128

Certification Number

RICHARD SIPSER -PRIVATE PRACTICE-

SAN FRANCISCO SMAIL, RAYA

204 CLEMENT ST,

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFC34353

Other Languages RUSSIAN HEBREW

National Provider ID 1477566115

Accepting New Patients Yes. Referral may be required.

(415) 831-4335

Certification Number

RAYA SMAIL -PRIVATE PRACTICE-

SAN FRANCISCO SOO, WAI

2019 WEBSTER ST

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number 142666

Other Languages

National Provider ID 1831386861

Accepting New Patients Yes. Referral may be required.

(855) 427-2778

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

SAN FRANCISCO SOO, WAI

3061 FILLMORE ST

SAN FRANCISCO, CA 94123

Psychiatrist

CA License Number 142666

Other Languages

National Provider ID 1831386861

Accepting New Patients Yes. Referral may be required.

(415) 292-3440

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATES SA

SAN FRANCISCO SPRINGS, PAMELA

3641 SACRAMENTO ST, STE D

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFT20385

Other Languages

National Provider ID 1427102342

Accepting New Patients Yes. Referral may be required.

(415) 753-2206

Certification Number

PAMELA SPRINGS -PRIVATE PRACTICE-

Page 260 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO SPUDICH, JOHN

1939 DIVISADERO ST, SUITE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 25120

Other Languages

National Provider ID 1235387945

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JOHN SPUDICH -PRIVATE PRACTICE-

SAN FRANCISCO STAR, HELEN

540 BALBOA ST

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFC28795

Other Languages

National Provider ID 1124267273

Accepting New Patients Yes. Referral may be required.

(415) 849-0390

Certification Number

HELEN STAR -PRIVATE PRACTICE-

SAN FRANCISCO STEINBERG, JANE

126 CHURCH ST,

SAN FRANCISCO, CA 94114

Marriage and Family Therapist

CA License Number MFC37885

Other Languages

National Provider ID 1134146681

Accepting New Patients Yes. Referral may be required.

(415) 431-8000

Certification Number

JANE STEINBERG -PRIVATE PRACTICE-

SAN FRANCISCO STEPHENS, PETER

3022 FILLMORE ST,

SAN FRANCISCO, CA 94123

Marriage and Family Therapist

CA License Number MFC00009542

Other Languages GREEK

National Provider ID 1528077203

Accepting New Patients Yes. Referral may be required.

(415) 921-3245

Certification Number

PETER STEPHENS -PRIVATE PRACTICE-

SAN FRANCISCO STERN, THOMAS

2345 CALIFORNIA ST,

SAN FRANCISCO, CA 94115

Psychologist

CA License Number PSY4982

Other Languages

National Provider ID 1821068610

Accepting New Patients Yes. Referral may be required.

(415) 905-4128

Certification Number

THOMAS STERN -PRIVATE PRACTICE-

SAN FRANCISCO STOLZOFF, GARY

1801 BUSH ST, STE 110

SAN FRANCISCO, CA 94109

Psychologist

CA License Number PSY00006841

Other Languages

National Provider ID 1477578516

Accepting New Patients Yes. Referral may be required.

(415) 921-8506

Certification Number

GARY STOLZOFF -PRIVATE PRACTICE-

Page 261 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO TAGGART, LINDA

220 MONTGOMERY ST, STE 1019

SAN FRANCISCO, CA 94104

Licensed Clinical Social Worker

CA License Number 27170

Other Languages

National Provider ID 1427087337

Accepting New Patients Yes. Referral may be required.

(650) 469-3617

Certification Number

LINDA TAGGART -PRIVATE PRACTICE-

SAN FRANCISCO TALKOFF, JAY

55 NEW MONTGOMERY ST, STE 420

SAN FRANCISCO, CA 94105

Psychologist

CA License Number PSY13818

Other Languages

National Provider ID 1609951821

Accepting New Patients Yes. Referral may be required.

(415) 541-9602

Certification Number

JAY TALKOFF -PRIVATE PRACTICE-

SAN FRANCISCO TERMAN, STANLEY

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number 36016

Other Languages

National Provider ID 1598028227

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

STANLEY TERMAN -PRIVATE PRACTICE-

SAN FRANCISCO TERMAN, STANLEY

3611 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number 36016

Other Languages

National Provider ID 1598028227

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

STANLEY TERMAN -PRIVATE PRACTICE-

SAN FRANCISCO THATCHER, DENNIS

1637 IRVING ST,

SAN FRANCISCO, CA 94122

Marriage and Family Therapist

CA License Number MFC00025186

Other Languages

National Provider ID 1477578243

Accepting New Patients Yes. Referral may be required.

(415) 995-2916

Certification Number

DENNIS THATCHER -PRIVATE PRACTICE-

SAN FRANCISCO THOMSON, DAVID

3569 SACRAMENTO ST, STE 4

SAN FRANCISCO, CA 94118

Licensed Clinical Social Worker

CA License Number LCSW6951

Other Languages

National Provider ID 1205814415

Accepting New Patients Yes. Referral may be required.

(415) 567-0095

Certification Number

DAVID A THOMSON LCSW

Page 262 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO TRICHTER, STEPHEN

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY22166

Other Languages

National Provider ID 1285832410

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

STEPHEN TRICHTER -PRIVATE PRACTICE-

SAN FRANCISCO TRICHTER, STEPHEN

110 GOUGH ST, STE 202

SAN FRANCISCO, CA 94102

Psychologist

CA License Number PSY22166

Other Languages

National Provider ID 1285832410

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

STEPHEN TRICHTER -PRIVATE PRACTICE-

SAN FRANCISCO TRICHTER, STEPHEN

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number PSY22166

Other Languages

National Provider ID 1285832410

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

STEPHEN TRICHTER -PRIVATE PRACTICE-

SAN FRANCISCO TRICHTER, STEPHEN

110 GOUGH ST, STE 202

SAN FRANCISCO, CA 94102

Psychologist

CA License Number PSY22166

Other Languages

National Provider ID 1285832410

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

STEPHEN TRICHTER -PRIVATE PRACTICE-

SAN FRANCISCO TUN, GEORGE

360 POST ST, STE 1000

SAN FRANCISCO, CA 94108

Psychiatrist

CA License Number A126691

Other Languages

National Provider ID 1437424884

Accepting New Patients Yes. Referral may be required.

(415) 964-5137

Certification Number

GEORGE TUN -PRIVATE PRACTICE-

SAN FRANCISCO TUN, GEORGE

350 PARNASSUS AVE, STE 201

SAN FRANCISCO, CA 94117

Psychiatrist

CA License Number A126691

Other Languages

National Provider ID 1437424884

Accepting New Patients Yes. Referral may be required.

(415) 671-6819

Certification Number

GEORGE TUN -PRIVATE PRACTICE-

Page 263 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO VICTORIA, CLEOPATRA

1865 UNION ST,

SAN FRANCISCO, CA 94123

Marriage and Family Therapist

CA License Number 40617

Other Languages

National Provider ID 1164663977

Accepting New Patients Yes. Referral may be required.

(415) 309-0222

Certification Number

CLEOPATRA VICTORIA -PRIVATE PRACTICE-

SAN FRANCISCO VILLELA, LEOPOLDO

2595 MISSION ST, STE 211

SAN FRANCISCO, CA 94110

Psychologist

CA License Number PSY11333

Other Languages SPANISH

National Provider ID 1144253568

Accepting New Patients Yes. Referral may be required.

(415) 641-7169

Certification Number

LEOPOLDO VILLELA -PRIVATE PRACTICE-

SAN FRANCISCO VOGNSEN, JACK

1102 SANCHEZ ST,

SAN FRANCISCO, CA 94114

Psychologist

CA License Number 3609

Other Languages

National Provider ID 1518127976

Accepting New Patients Yes. Referral may be required.

(415) 550-1516

Certification Number

JACK VOGNSEN PHD

SAN FRANCISCO VON MIDDENDORF, KARINA

50 CALIFORNIA ST, STE 1500

SAN FRANCISCO, CA 94111

Marriage and Family Therapist

CA License Number 38189

Other Languages SPANISH

National Provider ID 1982679718

Accepting New Patients Yes. Referral may be required.

(415) 408-8801

Certification Number

S F PSYCHOTHERAPY SERVICES

SAN FRANCISCO WALKER, LISA

3061 FILLMORE ST,

SAN FRANCISCO, CA 94123

Psychiatrist

CA License Number 60976

Other Languages SPANISH

National Provider ID 1154399723

Accepting New Patients Yes. Referral may be required.

(888) 267-6772

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATES SA

SAN FRANCISCO WAN, PAULINE

1732 FILLMORE ST,

SAN FRANCISCO, CA 94115

Licensed Clinical Social Worker

CA License Number LCS15326

Other Languages CHINESE

National Provider ID 1194741363

Accepting New Patients Yes. Referral may be required.

(415) 386-8383

Certification Number

PAULINE WAN -PRIVATE PRACTICE-

Page 264 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO WARREN, JOAN DEMARTINI

1738 UNION ST, STE 204

SAN FRANCISCO, CA 94123

Psychologist

CA License Number PSY18180

Other Languages

National Provider ID 1174547111

Accepting New Patients Yes. Referral may be required.

(415) 441-1678

Certification Number

JOAN DEMARTINI WARREN -PRIVATE PRAC

SAN FRANCISCO WASKA, ROBERT

3329 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFC00028161

Other Languages

National Provider ID 1699793869

Accepting New Patients Yes. Referral may be required.

(415) 883-4235

Certification Number

ROBERT WASKA -PRIVATE PRACTICE-

SAN FRANCISCO WEISZ, IGOR

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number A53529

Other Languages GERMAN HUNGARIAN

National Provider ID 1417070822

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

IGOR WEISZ -PRIVATE PRACTICE-

SAN FRANCISCO WEISZ, IGOR

3611 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A53529

Other Languages GERMAN HUNGARIAN

National Provider ID 1417070822

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

IGOR WEISZ -PRIVATE PRACTICE-

SAN FRANCISCO WEISZ, IGOR

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A53529

Other Languages GERMAN HUNGARIAN

National Provider ID 1417070822

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

IGOR WEISZ -PRIVATE PRACTICE-

SAN FRANCISCO WHITELY, PHILLIP

540 CASTRO ST,

SAN FRANCISCO, CA 94114

Marriage and Family Therapist

CA License Number 77519

Other Languages

National Provider ID 1124442280

Accepting New Patients Yes. Referral may be required.

(415) 891-9665

Certification Number

PHILLIP WHITELY -PRIVATE PRACTICE-

Page 265 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO WIDROE, HARVEY

2211 POST ST,

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number G4880

Other Languages

National Provider ID 1003977851

Accepting New Patients Yes. Referral may be required.

(415) 928-1221

Certification Number

HARVEY WIDROE -PRIVATE PRACTICE-

SAN FRANCISCO WILLIAMS, SVETLANA

842 CALIFORNIA ST,

SAN FRANCISCO, CA 94108

Psychiatrist

CA License Number 81124

Other Languages

National Provider ID 1922145671

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SVETLANA WILLIAMS -PRIVATE PRACTICE-

SAN FRANCISCO WILLIAMS, SVETLANA

110 GOUGH ST, STE 202

SAN FRANCISCO, CA 94102

Psychiatrist

CA License Number 81124

Other Languages

National Provider ID 1922145671

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SVETLANA WILLIAMS -PRIVATE PRACTICE-

SAN FRANCISCO WILLIAMS, SVETLANA

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number 81124

Other Languages

National Provider ID 1922145671

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

SVETLANA WILLIAMS -PRIVATE PRACTICE-

SAN FRANCISCO WINDHOLZ, MICHAEL

3667 SACRAMENTO ST, STE 101

SAN FRANCISCO, CA 94118

Psychologist

CA License Number PSY6318

Other Languages

National Provider ID 1245451707

Accepting New Patients Yes. Referral may be required.

(415) 346-2961

Certification Number

MICHAEL WINDHOLZ -PRIVATE PRACTICE-

SAN FRANCISCO WONG, ALBERT

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 27690

Other Languages

National Provider ID 1720367956

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

ALBERT WONG -PRIVATE PRACTICE-

Page 266 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO WONG, NANCY

312 3RD AVE,

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number 19247

Other Languages CANTONESE

National Provider ID 1891810222

Accepting New Patients Yes. Referral may be required.

(925) 736-2785

Certification Number

NANCY WONG

SAN FRANCISCO YAMAMOTO, MANAMI

3609 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Marriage and Family Therapist

CA License Number MFT94196

Other Languages JAPANESE

National Provider ID 1821409012

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MANAMI YAMAMOTO -PRIVATE PRACTICE-

SAN FRANCISCO YAMAMOTO, MANAMI

447 SUTTER ST, STE 400

SAN FRANCISCO, CA 94108

Marriage and Family Therapist

CA License Number MFT94196

Other Languages JAPANESE

National Provider ID 1821409012

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MANAMI YAMAMOTO -PRIVATE PRACTICE-

SAN FRANCISCO YAZDANI, SARAH

3150 18TH ST, STE 255

SAN FRANCISCO, CA 94110

Licensed Clinical Social Worker

CA License Number LCS64991

Other Languages

National Provider ID 1346578028

Accepting New Patients Yes. Referral may be required.

(415) 371-9552

Certification Number

SARAH YAZDANI -PRIVATE PRACTICE-

SAN FRANCISCO YOUNG, BARBARA

1195 VALENCIA ST,

SAN FRANCISCO, CA 94110

Marriage and Family Therapist

CA License Number 24210

Other Languages

National Provider ID 1558597815

Accepting New Patients Yes. Referral may be required.

(510) 848-4660

Certification Number

BARBARA YOUNG -PRIVATE PRACTICE-

SAN FRANCISCO YU, BELLA

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychologist

CA License Number 23652

Other Languages

National Provider ID 1073687778

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

BELLA YU -PRIVATE PRACTICE-

Page 267 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN FRANCISCO YU, BELLA

3609 SACRAMENTO ST

SAN FRANCISCO, CA 94118

Psychologist

CA License Number 23652

Other Languages

National Provider ID 1073687778

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

BELLA YU -PRIVATE PRACTICE-

SAN FRANCISCO YU, BELLA

870 MARKET ST, STE 744

SAN FRANCISCO, CA 94102

Psychologist

CA License Number 23652

Other Languages

National Provider ID 1073687778

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

BELLA YU -PRIVATE PRACTICE-

SAN FRANCISCO ZAPATA, JADE

1939 DIVISADERO ST, STE 5B

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number A119791

Other Languages

National Provider ID 1154689628

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JADE ZAPATA -PRIVATE PRACTICE-

SAN FRANCISCO ZAPATA, JADE

3609 SACRAMENTO ST,

SAN FRANCISCO, CA 94118

Psychiatrist

CA License Number A119791

Other Languages

National Provider ID 1154689628

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

JADE ZAPATA -PRIVATE PRACTICE-

SAN FRANCISCO ZHUANG, ZHI JIAR

1732 FILLMORE ST

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number 69568

Other Languages CHINESE

National Provider ID 1760464648

Accepting New Patients Yes. Referral may be required.

(415) 948-9546

Certification Number

ZHI JIAR ZHUANG -PRIVATE PRACTICE-

SAN FRANCISCO ZUSSMAN, MARC

1939 DIVISADERO ST, STE 5

SAN FRANCISCO, CA 94115

Psychiatrist

CA License Number G29978

Other Languages FRENCH

National Provider ID 1639231533

Accepting New Patients Yes. Referral may be required.

(415) 563-1959

Certification Number

MARC ZUSSMAN -PRIVATE PRACTICE-

Page 268 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN JOAQUIN AL-DHAHER, ZAINAB

302 CHERRY LN, STE 208

MANTECA, CA 95337

Psychiatrist

CA License Number 143479

Other Languages

National Provider ID 1093002636

Accepting New Patients Yes. Referral may be required.

(209) 832-2246

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

SAN JOAQUIN BACHMAN-KARNES, LISE

330 S FAIRMONT AVE, STE 7

LODI, CA 95240

Marriage and Family Therapist

CA License Number MFT51388

Other Languages SPANISH

National Provider ID 1437300423

Accepting New Patients Yes. Referral may be required.

(209) 956-4240

Certification Number

LISE BACHMAN-KARNES -PRIVATE PRACTIC

SAN JOAQUIN BELL, KELLY

5250 CLAREMONT AVE, STE 229

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number MFC35054

Other Languages

National Provider ID 1518937747

Accepting New Patients Yes. Referral may be required.

(209) 451-3860

Certification Number

CREATIVE SOLUTIONS COUNSELING

SAN JOAQUIN BELL, KELLY

5250 CLAREMONT AVE, STE 229

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number MFT35054

Other Languages

National Provider ID 1518937747

Accepting New Patients Yes. Referral may be required.

(209) 451-3860

Certification Number

CREATIVE SOLUTIONS COUNSELING

SAN JOAQUIN BEREAN, MALCOLM

211 E MARCH LN, STE I

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number 38325

Other Languages

National Provider ID 1760782460

Accepting New Patients Yes. Referral may be required.

(209) 327-0588

Certification Number

MALCOLM BEREAN -PRIVATE PRACTICE-

SAN JOAQUIN BEREAN, MALCOLM

1338 S SCHOOL ST, STE A

LODI, CA 95240

Marriage and Family Therapist

CA License Number 38325

Other Languages

National Provider ID 1760782460

Accepting New Patients Yes. Referral may be required.

(209) 327-0588

Certification Number

MALCOLM BEREAN -PRIVATE PRACTICE-

Page 269 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN JOAQUIN BERGHORST, NATHAN

1108 W MAIN ST,

RIPON, CA 95366

Marriage and Family Therapist

CA License Number 50812

Other Languages

National Provider ID 1306088695

Accepting New Patients Yes. Referral may be required.

(209) 573-1883

Certification Number

NATHAN BERGHORST -PRIVATE PRACTICE-

SAN JOAQUIN BRISON MOLL, NANCY

965 E YOSEMITE AVE, STE 18

MANTECA, CA 95336

Psychologist

CA License Number PSY15243

Other Languages

National Provider ID 1053410878

Accepting New Patients Yes. Referral may be required.

(209) 483-4498

Certification Number

NANCY BRISON MOLL PHD

SAN JOAQUIN CHELLSEN, JOHN

2155 W MARCH LN, STE 2B

STOCKTON, CA 95207

Psychologist

CA License Number PSY8979

Other Languages

National Provider ID 1669403580

Accepting New Patients Yes. Referral may be required.

(209) 473-4211

Certification Number

JOHN CHELLSEN -PRIVATE PRACTICE-

SAN JOAQUIN COBB, ANGELA

2307 W ALPINE AVE,

STOCKTON, CA 95204

Marriage and Family Therapist

CA License Number MFC42421

Other Languages

National Provider ID 1275603235

Accepting New Patients Yes. Referral may be required.

(209) 518-0287

Certification Number

COBB COUNSELING SERVICES

SAN JOAQUIN COSTELLO, FRAN

1518 W HAMMER LN,

STOCKTON, CA 95209

Marriage and Family Therapist

CA License Number LMFT 43939

Other Languages

National Provider ID 1437223534

Accepting New Patients Yes. Referral may be required.

(209) 474-3445

Certification Number

FRAN COSTELLO -PRIVATE PRACTICE-

SAN JOAQUIN FINKELSTEIN, DAVID

7510 SHORELINE DR, STE A9

STOCKTON, CA 95219

Psychiatrist

CA License Number A125377

Other Languages

National Provider ID 1124179262

Accepting New Patients Yes. Referral may be required.

(209) 956-4654

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

Page 270 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN JOAQUIN FOWLE, CAROLYN

1121 W VINE ST, STE 12A

LODI, CA 95240

Psychologist

CA License Number PSY2969

Other Languages

National Provider ID 1669578936

Accepting New Patients Yes. Referral may be required.

(209) 368-0971

Certification Number

CAROLYN FOWLE -PRIVATE PRACTICE-

SAN JOAQUIN GILL, PARAMJIT

1805 N CALIFORNIA ST, STE 202

STOCKTON, CA 95204

Psychiatrist

CA License Number A49224

Other Languages PANJABI URDU

National Provider ID 1073629218

Accepting New Patients Yes. Referral may be required.

(209) 467-1500

Certification Number

PARAMJIT GILL -PRIVATE PRACTICE-

SAN JOAQUIN HANNON, JUNE

3031 W MARCH LN, STE 317

STOCKTON, CA 95219

Psychologist

CA License Number PSY5871

Other Languages

National Provider ID 1790798247

Accepting New Patients Yes. Referral may be required.

(209) 951-7511

Certification Number

ROSEANN HANNON PHD

SAN JOAQUIN HEINEMANN, MAX

2626 N CALIFORNIA ST, STE E

STOCKTON, CA 95204

Licensed Clinical Social Worker

CA License Number 9795

Other Languages

National Provider ID 1710998059

Accepting New Patients Yes. Referral may be required.

(209) 467-4444

Certification Number

MAX HEINEMANN LCSW

SAN JOAQUIN HOWARD, JANE

510 WHISPERING WIND DR, STE 110

TRACY, CA 95377

Psychologist

CA License Number PSY14430

Other Languages SPANISH

National Provider ID 1427349646

Accepting New Patients Yes. Referral may be required.

(209) 832-7756

Certification Number

JANE HOWARD -PRIVATE PRACTICE-

SAN JOAQUIN HUFF, BRIAN

2155 W MARCH LN, STE 2B

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number 38756

Other Languages

National Provider ID 1457446858

Accepting New Patients Yes. Referral may be required.

(209) 473-3211

Certification Number

QUAIL POINT CENTER

Page 271 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN JOAQUIN KRUEGER, KATHY

902 N CENTRAL AVE, STE 308

TRACY, CA 95376

Marriage and Family Therapist

CA License Number 47823

Other Languages

National Provider ID 1326355538

Accepting New Patients Yes. Referral may be required.

(408) 241-0373

Certification Number

KATHY KRUEGER -PRIVATE PRACTICE-

SAN JOAQUIN KRUEGER, KATHY

902 CENTRAL AVE, STE 308

TRACY, CA 95376

Marriage and Family Therapist

CA License Number 47823

Other Languages

National Provider ID 1326355538

Accepting New Patients Yes. Referral may be required.

(408) 241-0373

Certification Number

KATHY KRUEGER

SAN JOAQUIN LASKOWSKI, KIMBERLY

1920 TIENDA DR, STE 101

LODI, CA 95242

Marriage and Family Therapist

CA License Number MFC45624

Other Languages

National Provider ID 1063594562

Accepting New Patients Yes. Referral may be required.

(209) 339-1600

Certification Number

KIMBERLY LASKOWSKI -PRIVATE PRACTICE

SAN JOAQUIN LEWIS, JUDY

330 S FAIRMONT AVE, STE 7

LODI, CA 95240

Marriage and Family Therapist

CA License Number MFC35589

Other Languages

National Provider ID 1114943859

Accepting New Patients Yes. Referral may be required.

(209) 607-7895

Certification Number

JUDY DIANE LEWIS LMFT

SAN JOAQUIN MARTIN, ROBERT

2522 GRAND CANAL BLVD, STE 1

STOCKTON, CA 95207

Psychiatrist

CA License Number A37227

Other Languages SPANISH

National Provider ID 1952482747

Accepting New Patients Yes. Referral may be required.

(209) 951-4666

Certification Number

ROBERT MARTIN -PRIVATE PRACTICE-

SAN JOAQUIN MARTIN, ROBERT

2522 GRAND CANAL BLVD, STE 1

STOCKTON, CA 95207

Psychiatrist

CA License Number C039816

Other Languages SPANISH

National Provider ID 1952482747

Accepting New Patients Yes. Referral may be required.

(209) 951-4666

Certification Number

ROBERT MARTIN -PRIVATE PRACTICE-

Page 272 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN JOAQUIN MELLO, PAMELA

2431 W MARCH LN, STE 210

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number MFC35219

Other Languages

National Provider ID 1548354988

Accepting New Patients Yes. Referral may be required.

(209) 406-4196

Certification Number

PAMELA MELLO -PRIVATE PRACTICE-

SAN JOAQUIN MILLER, TIMOTHY

5250 CLAREMONT AVE, STE 112

STOCKTON, CA 95207

Psychologist

CA License Number PSY008283

Other Languages SPANISH

National Provider ID 1528160041

Accepting New Patients Yes. Referral may be required.

(209) 478-8568

Certification Number

TIMOTHY MILLER -PRIVATE PRACTICE-

SAN JOAQUIN MILLS, LINDA

965 E YOSEMITE AVE, STE 1B

MANTECA, CA 95336

Marriage and Family Therapist

CA License Number 44832

Other Languages

National Provider ID 1891989067

Accepting New Patients Yes. Referral may be required.

(209) 470-3295

Certification Number

BALANCE COUNSELING

SAN JOAQUIN MOLINI, MARY

1338 S SCHOOL ST, STE A

LODI, CA 95240

Marriage and Family Therapist

CA License Number 38326

Other Languages

National Provider ID 1689974370

Accepting New Patients Yes. Referral may be required.

(209) 327-9224

Certification Number

MARY MOLINI -PRIVATE PRACTICE-

SAN JOAQUIN MOLINI, MARY

211 E MARCH LN,

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number 38326

Other Languages

National Provider ID 1689974370

Accepting New Patients Yes. Referral may be required.

(209) 327-0588

Certification Number

MARY MOLINI -PRIVATE PRACTICE-

SAN JOAQUIN O'CONNOR, KEVIN

965 E YOSEMITE AVE, STE 21

MANTECA, CA 95336

Marriage and Family Therapist

CA License Number LMFT41168

Other Languages

National Provider ID 1235291469

Accepting New Patients Yes. Referral may be required.

(209) 404-0196

Certification Number

KEVIN OCONNOR MFT

Page 273 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN JOAQUIN ORDONE, LETTIE

4600 S TRACY BLVD, STE 106

TRACY, CA 95377

Licensed Clinical Social Worker

CA License Number 24606

Other Languages

National Provider ID 1932433778

Accepting New Patients Yes. Referral may be required.

(209) 640-4179

Certification Number

LETTIE ORDONE -PRIVATE PRACTICE-

SAN JOAQUIN PARKER, NICOLE

965 E YOSEMITE AVE, STE 12

MANTECA, CA 95336

Marriage and Family Therapist

CA License Number MFC41148

Other Languages

National Provider ID 1194864488

Accepting New Patients Yes. Referral may be required.

(209) 518-8140

Certification Number

NICOLE PARKER -PRIVATE PRACTICE-

SAN JOAQUIN PARMAR, RASHMI

302 CHERRY LN, STE 208

MANTECA, CA 95337

Psychiatrist

CA License Number A126880

Other Languages

National Provider ID 1215217609

Accepting New Patients Yes. Referral may be required.

(209) 823-2246

Certification Number

RASHMI PARMAR -PRIVATE PRACTICE-

SAN JOAQUIN PARMAR, RASHMI

28469 S CHRISMAN RD,

TRACY, CA 95304

Psychiatrist

CA License Number A126880

Other Languages

National Provider ID 1215217609

Accepting New Patients Yes. Referral may be required.

(855) 427-2776

Certification Number

RASHMI PARMAR -PRIVATE PRACTICE-

SAN JOAQUIN PATEL, VISHAL

302 CHERRY LN, STE 208

MANTECA, CA 95337

Psychiatrist

CA License Number A130093

Other Languages

National Provider ID 1225292642

Accepting New Patients Yes. Referral may be required.

(209) 823-2246

Certification Number

VISHAL PATEL -PRIVATE PRACTICE-

SAN JOAQUIN PHIPPS, ARLENE

5250 CLAREMONT AVE, STE 101

STOCKTON, CA 95207

Licensed Clinical Social Worker

CA License Number LCS00008789

Other Languages

National Provider ID 1598796336

Accepting New Patients Yes. Referral may be required.

(209) 472-3627

Certification Number

ARLENE PHIPPS -PRIVATE PRACTICE-

Page 274 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN JOAQUIN POMETTA, CAROLYN

2626 N CALIFORNIA ST, STE E

STOCKTON, CA 95204

Licensed Clinical Social Worker

CA License Number LCS16956

Other Languages

National Provider ID 1043316326

Accepting New Patients Yes. Referral may be required.

(209) 467-4444

Certification Number

CAROLYN POMETTA -PRIVATE PRACTICE-

SAN JOAQUIN RAI, RANVINDER

302 CHERRY LN, STE 208

MANTECA, CA 95337

Psychiatrist

CA License Number A111969

Other Languages

National Provider ID 1467607119

Accepting New Patients Yes. Referral may be required.

(209) 823-2246

Certification Number

RANVINDER RAI -PRIVATE PRACTICE-

SAN JOAQUIN RIETA, FELICIA

5250 CLAREMONT AVE, STE 215

STOCKTON, CA 95207

Licensed Clinical Social Worker

CA License Number 26634

Other Languages SPANISH

National Provider ID 1497979470

Accepting New Patients Yes. Referral may be required.

(209) 403-8112

Certification Number

FELICIA RIETA -PRIVATE PRACTICE-

SAN JOAQUIN ROMLEY, SHERRY

445 W BEVERLY PL,

TRACY, CA 95376

Marriage and Family Therapist

CA License Number LMFT21803

Other Languages

National Provider ID 1750458998

Accepting New Patients Yes. Referral may be required.

(209) 832-8906

Certification Number

SHERRY ROMLEY -PRIVATE PRACTICE-

SAN JOAQUIN SAFFIER, SHARMAN

2155 W MARCH LN, STE 2B

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number MFC44642

Other Languages

National Provider ID 1184745283

Accepting New Patients Yes. Referral may be required.

(209) 298-2614

Certification Number

SHARMAN SAFFIER MFT

SAN JOAQUIN SANGUINETTI, JILL

6653 EMBARCADERO DR, STE D

STOCKTON, CA 95219

Marriage and Family Therapist

CA License Number MFC00019137

Other Languages

National Provider ID 1285681437

Accepting New Patients Yes. Referral may be required.

(209) 473-7993

Certification Number

JILL SANGUINETTI -PRIVATE PRACTICE-

Page 275 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN JOAQUIN SCOTT, RAYMOND

1545 SAINT MARKS PLZ, STE 5

STOCKTON, CA 95207

Psychologist

CA License Number PSY17363

Other Languages

National Provider ID 1922191527

Accepting New Patients Yes. Referral may be required.

(916) 914-5520

Certification Number

RAYMOND SCOTT -PRIVATE PRACTICE-

SAN JOAQUIN SMITH, GARLAND

8807 THORNTON RD, STE M

STOCKTON, CA 95209

Marriage and Family Therapist

CA License Number 38289

Other Languages

National Provider ID 1750315230

Accepting New Patients Yes. Referral may be required.

(209) 478-1959

Certification Number

GARLAND SMITH -PRIVATE PRACTICE-

SAN JOAQUIN SMITH, MICHAEL

2510 N CALIFORNIA ST

STOCKTON, CA 95204

Psychiatrist

CA License Number G66609

Other Languages

National Provider ID 1720179385

Accepting New Patients Yes. Referral may be required.

(209) 461-2000

Certification Number

MICHAEL SMITH -PRIVATE PRACTICE-

SAN JOAQUIN SMITH, MICHAEL

2291 W MARCH LANE, D-200

STOCKTON, CA 95207

Psychiatrist

CA License Number G66609

Other Languages

National Provider ID 1720179385

Accepting New Patients Yes. Referral may be required.

(209) 478-1536

Certification Number

MICHAEL W SMITH MD

SAN JOAQUIN SPOONHOUR, GENOLA

2155 W MARCH LN, STE 2B

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number MFT16646

Other Languages

National Provider ID 1063584662

Accepting New Patients Yes. Referral may be required.

(209) 473-4211

Certification Number

GENOLA SPOONHOUR -PRIVATE PRACTICE-

SAN JOAQUIN STONER, LANI

7510 SHORELINE DR, STE A-7

STOCKTON, CA 95219

Marriage and Family Therapist

CA License Number MFT30965

Other Languages

National Provider ID 1811067713

Accepting New Patients Yes. Referral may be required.

(209) 477-9009

Certification Number

LANI STONER -PRIVATE PRACTICE-

Page 276 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN JOAQUIN TANENBAUM, JACK

1209 W TOKAY ST, STE 11

LODI, CA 95240

Licensed Clinical Social Worker

CA License Number LMFT6688

Other Languages

National Provider ID 1154419505

Accepting New Patients Yes. Referral may be required.

(916) 662-9547

Certification Number

JACK TANENBAUM -PRIVATE PRACTICE-

SAN JOAQUIN TARRANT, LYNN

2155 W MARCH LN, STE 2B

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number 18630

Other Languages

National Provider ID 1609993021

Accepting New Patients Yes. Referral may be required.

(209) 473-4211

Certification Number

LYNN TARRANT -PRIVATE PRACTICE-

SAN JOAQUIN TARRANT, LYNN

2431 W MARCH LN, STE 210

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number 18630

Other Languages

National Provider ID 1609993021

Accepting New Patients Yes. Referral may be required.

(209) 715-8495

Certification Number

LYNN TARRANT -PRIVATE PRACTICE-

SAN JOAQUIN VENKATACHALAM, SUKANYA

302 CHERRY LN, STE 208

MANTECA, CA 95337

Psychiatrist

CA License Number A112695

Other Languages

National Provider ID 1083878078

Accepting New Patients Yes. Referral may be required.

(209) 832-2246

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

SAN JOAQUIN VENKATACHALAM, SUKANYA

1360 BESSIE AVE,

TRACY, CA 95376

Psychiatrist

CA License Number A112695

Other Languages

National Provider ID 1083878078

Accepting New Patients Yes. Referral may be required.

(209) 833-3654

Certification Number

SUKANYA VENKATACHALAM -PRIVATE PRA

SAN JOAQUIN WOLLESEN FOSTER, SUSAN

1743 GRAND CANAL BLVD, STE 16

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number 18138

Other Languages

National Provider ID 1720039530

Accepting New Patients Yes. Referral may be required.

(209) 499-4932

Certification Number

SUSAN WOLLESEN FOSTER -PRIVATE PRAC

Page 277 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN JOAQUIN YATES, ROGER

2155 W MARCH LN, STE 2B

STOCKTON, CA 95207

Marriage and Family Therapist

CA License Number MFC00018686

Other Languages

National Provider ID 1952317133

Accepting New Patients Yes. Referral may be required.

(209) 473-4211

Certification Number

ROGER YATES -PRIVATE PRACTICE-

SAN JOAQUIN ZIA, MUHAMMAD

2626 N CALIFORNIA ST, STE E

STOCKTON, CA 95204

Psychiatrist

CA License Number 40085

Other Languages

National Provider ID 1497851844

Accepting New Patients Yes. Referral may be required.

(209) 467-4444

Certification Number

MUHAMMAD S ZIA MD

SAN MATEO ADAIR, FRANK

2639 EATON AVE,

REDWOOD CITY, CA 94062

Psychiatrist

CA License Number G056845

Other Languages

National Provider ID 1043242381

Accepting New Patients Yes. Referral may be required.

(650) 368-2573

Certification Number

FRANK ADAIR -PRIVATE PRACTICE-

SAN MATEO ALBERT, DENISE

999 BAKER WAY, STE 420

SAN MATEO, CA 94404

Psychiatrist

CA License Number A81724

Other Languages

National Provider ID 1043399462

Accepting New Patients Yes. Referral may be required.

(650) 571-9652

Certification Number

DENISE ALBERT -PRIVATE PRACTICE-

SAN MATEO ARBETMAN TRISKA, EDDIE

205 E 3RD AVE, STE 205

SAN MATEO, CA 94401

Marriage and Family Therapist

CA License Number 23797

Other Languages

National Provider ID 1831251560

Accepting New Patients Yes. Referral may be required.

(415) 206-0742

Certification Number

EDDIE ARBETMAN TRISKA -PRIVATE PRACTI

SAN MATEO ARSLAN, NORMAN

1838 EL CAMINO REAL, STE 230

BURLINGAME, CA 94010

Marriage and Family Therapist

CA License Number MFC14460

Other Languages

National Provider ID 1023165602

Accepting New Patients Yes. Referral may be required.

(650) 697-5320

Certification Number

NORMAN ARSLAN -PRIVATE PRACTICE-

Page 278 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO AUZA, MICHAEL

455 HICKEY BLVD, STE 414

DALY CITY, CA 94015

Psychiatrist

CA License Number A114483

Other Languages

National Provider ID 1649560673

Accepting New Patients Yes. Referral may be required.

(650) 301-4960

Certification Number

MICHAEL AUZA -PRIVATE PRACTICE-

SAN MATEO AUZA, MICHAEL

3 WATERS PARK DR, STE 224

SAN MATEO, CA 94403

Psychiatrist

CA License Number A114483

Other Languages

National Provider ID 1649560673

Accepting New Patients Yes. Referral may be required.

(650) 393-4205

Certification Number

COMPREHENSIVE PSYCHIATRIC SERV

SAN MATEO AVILA, MARCIA

501 1ST AVE, #1

SAN MATEO, CA 94401

Marriage and Family Therapist

CA License Number MFC37750

Other Languages

National Provider ID 1336251594

Accepting New Patients Yes. Referral may be required.

(650) 400-5293

Certification Number

MARCIA AVILA -PRIVATE PRACTICE-

SAN MATEO AVILA, MARCIA

501 1ST AVE, #1

SAN MATEO, CA 94401

Marriage and Family Therapist

CA License Number MFC37750

Other Languages

National Provider ID 1336251594

Accepting New Patients Yes. Referral may be required.

(650) 400-5293

Certification Number

MARCIA AVILA -PRIVATE PRACTICE-

SAN MATEO AVILA, MARCIA

501 1ST AVE, STE A

SAN MATEO, CA 94401

Marriage and Family Therapist

CA License Number MFC37750

Other Languages

National Provider ID 1336251594

Accepting New Patients Yes. Referral may be required.

(650) 400-5293

Certification Number

MARCIA AVILA -PRIVATE PRACTICE-

SAN MATEO AZIZI, SOUDABEH

661 LIVE OAK AVE, STE 5

MENLO PARK, CA 94025

Marriage and Family Therapist

CA License Number LMFT 42631

Other Languages FARSI

National Provider ID 1700277902

Accepting New Patients Yes. Referral may be required.

(650) 857-1477

Certification Number

SOUDABEH AZIZI -PRIVATE PRACTICE-

Page 279 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO BASLER, AMANDA

450 DONDEE ST, STE 5

PACIFICA, CA 94044

Marriage and Family Therapist

CA License Number 47101

Other Languages

National Provider ID 1336261320

Accepting New Patients Yes. Referral may be required.

(415) 683-1899

Certification Number

AMANDA BASLER -PRIVATE PRACTICE-

SAN MATEO BAYNES, DONNA

1117 S B ST, STE 4

SAN MATEO, CA 94401

Marriage and Family Therapist

CA License Number 32553

Other Languages

National Provider ID 1609034784

Accepting New Patients Yes. Referral may be required.

(650) 596-9038

Certification Number

DONNA J BAYNES

SAN MATEO BEREZOVSKAYA, ANASTASIA

25 EDWARDS CT, STE 101

BURLINGAME, CA 94010

Psychologist

CA License Number PSY25100

Other Languages RUSSIAN

National Provider ID 1346590437

Accepting New Patients Yes. Referral may be required.

(415) 323-0665

Certification Number

ANASTASIA BEREZOVSKAYA -PRIVATE PRA

SAN MATEO BLUM, PAMELA

318 WESTLAKE CTR, STE 219

DALY CITY, CA 94015

Licensed Clinical Social Worker

CA License Number LCS3480

Other Languages

National Provider ID 1104857853

Accepting New Patients Yes. Referral may be required.

(415) 601-8648

Certification Number

PAMELA BLUM -PRIVATE PRACTICE-

SAN MATEO BRADSHAW, JOHN

100 S ELLSWORTH AVE, STE 802

SAN MATEO, CA 94401

Psychologist

CA License Number PSY7955

Other Languages

National Provider ID 1144395815

Accepting New Patients Yes. Referral may be required.

(650) 343-6955

Certification Number

JOHN BRADSHAW -PRIVATE PRACTICE-

SAN MATEO BRAGMAN, JEFFREY

974 RALSTON AVE, STE 10

BELMONT, CA 94002

Psychologist

CA License Number 5659

Other Languages

National Provider ID 1841276599

Accepting New Patients Yes. Referral may be required.

(800) 353-2761

Certification Number

JEFFREY BRAGMAN -PRIVATE PRACTICE-

Page 280 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO BREEN, LYDIA

3 WATERS PARK DR, STE 224

SAN MATEO, CA 94403

Psychiatrist

CA License Number A86827

Other Languages

National Provider ID 1518926203

Accepting New Patients Yes. Referral may be required.

(650) 393-4205

Certification Number

COMPREHENSIVE PSYCHIATRIC SERV

SAN MATEO CARTER, BERNIE

80 EUREKA SQ, STE 151

PACIFICA, CA 94044

Marriage and Family Therapist

CA License Number MFC11652

Other Languages

National Provider ID 1497782890

Accepting New Patients Yes. Referral may be required.

(415) 485-5991

Certification Number

BERNIE CARTER

SAN MATEO CERVANTES, OSCAR

715 EL CAMINO REAL, STE 209

SAN BRUNO, CA 94066

Psychologist

CA License Number PSY11697

Other Languages SPANISH

National Provider ID 1629224878

Accepting New Patients Yes. Referral may be required.

(650) 589-9442

Certification Number

OSCAR CERVANTES -PRIVATE PRACTICE-

SAN MATEO CHEN, SAMANTHA

340 LORTON AVE, STE 205

BURLINGAME, CA 94010

Marriage and Family Therapist

CA License Number 42386

Other Languages CHINESE MANDARIN

National Provider ID 1366500282

Accepting New Patients Yes. Referral may be required.

(650) 815-1168

Certification Number

SAMANTHA CHEN -PRIVATE PRACTICE-

SAN MATEO CORELLI, RICHARD

80 EUREKA SQ, STE 210

PACIFICA, CA 94044

Psychiatrist

CA License Number G32503

Other Languages

National Provider ID 1912995507

Accepting New Patients Yes. Referral may be required.

(650) 326-1915

Certification Number

RICHARD J CORELLI MD

SAN MATEO CORELLI, RICHARD

700 MILL ST,

HALF MOON BAY, CA 94019

Psychiatrist

CA License Number G32503

Other Languages

National Provider ID 1912995507

Accepting New Patients Yes. Referral may be required.

(650) 326-1915

Certification Number

RICHARD J CORELLI MD

Page 281 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO COSTA, JOANNA

1187 UNIVERSITY DR,

MENLO PARK, CA 94025

Marriage and Family Therapist

CA License Number 43087

Other Languages

National Provider ID 1295866622

Accepting New Patients Yes. Referral may be required.

(650) 427-9620

Certification Number

JOANNA COSTA -PRIVATE PRACTICE-

SAN MATEO DE CARBONEL, CLAUDETTE

1601 BAYSHORE HWY, STE 123

BURLINGAME, CA 94010

Marriage and Family Therapist

CA License Number MFC39077

Other Languages

National Provider ID 1497974968

Accepting New Patients Yes. Referral may be required.

(650) 303-0676

Certification Number

CLAUDETTE DE CARBONEL -PRIVATE PRAC

SAN MATEO DE SOTO, TRACY

901 SNEATH LN, STE 108

SAN BRUNO, CA 94066

Marriage and Family Therapist

CA License Number 656

Other Languages

National Provider ID 1336348788

Accepting New Patients Yes. Referral may be required.

(650) 279-2330

Certification Number

TRACY DE SOTO -PRIVATE PRACTICE-

SAN MATEO DEAN, MARCIA

215 N SAN MATEO DR, STE 6

SAN MATEO, CA 94401

Marriage and Family Therapist

CA License Number LMFT22145

Other Languages

National Provider ID 1508919234

Accepting New Patients Yes. Referral may be required.

(650) 343-9595

Certification Number

MARCIA DEAN -PRIVATE PRACTICE-

SAN MATEO DONNER, ROSE-ANNE

1777 BOREL PL, STE 440

SAN MATEO, CA 94402

Psychologist

CA License Number PSY00003389

Other Languages

National Provider ID 1215027354

Accepting New Patients Yes. Referral may be required.

(415) 759-6959

Certification Number

ROSE-ANNE DONNER -PRIVATE PRACTICE-

SAN MATEO DRAEGER, HAROLD

468 GRAND ST,

REDWOOD CITY, CA 94062

Marriage and Family Therapist

CA License Number MFC34206

Other Languages

National Provider ID 1750812772

Accepting New Patients Yes. Referral may be required.

(650) 366-7882

Certification Number

HAROLD DRAEGER -PRIVATE PRACTICE-

Page 282 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO DUFFEY, RENEE

1601 BAYSHORE HWY,

BURLINGAME, CA 94010

Marriage and Family Therapist

CA License Number LMFT32522

Other Languages

National Provider ID 1407935893

Accepting New Patients Yes. Referral may be required.

(650) 692-6071

Certification Number

RENEE DUFFEY -PRIVATE PRACTICE-

SAN MATEO DURKAC, JUDITH

1838 EL CAMINO REAL, STE 230

BURLINGAME, CA 94010

Marriage and Family Therapist

CA License Number LMFT14586

Other Languages

National Provider ID 1760539399

Accepting New Patients Yes. Referral may be required.

(650) 697-5320

Certification Number

JUDITH DURKAC -PRIVATE PRACTICE-

SAN MATEO EDWARDS, KASSANDRA

511 PARROTT DR

SAN MATEO, CA 94402

Licensed Clinical Social Worker

CA License Number MFC22850

Other Languages

National Provider ID 1578630745

Accepting New Patients Yes. Referral may be required.

(650) 575-5102

Certification Number

KASSANDRA EDWARDS -PRIVATE PRACTIC

SAN MATEO FACCHINO, LOUIS

39 N SAN MATEO DR, STE 5

SAN MATEO, CA 94401

Marriage and Family Therapist

CA License Number MFC6624

Other Languages SPANISH ITALIAN

National Provider ID 1861593543

Accepting New Patients Yes. Referral may be required.

(650) 351-1893

Certification Number

LOUIS FACCHINO

SAN MATEO FAN, KATHERINE

1166 EL CAMINO REAL

MENLO PARK, CA 94025

Psychiatrist

CA License Number G104114

Other Languages MANDARIN

National Provider ID 1720283294

Accepting New Patients Yes. Referral may be required.

(650) 304-3906

Certification Number

KATHERINE FAN -PRIVATE PRACTICE-

SAN MATEO FEINSTEIN, LAWRENCE

1690 WOODSIDE RD, STE. #221

REDWOOD CITY, CA 94061

Psychologist

CA License Number PSY25675

Other Languages HEBREW SPANISH

National Provider ID 1063855336

Accepting New Patients Yes. Referral may be required.

(650) 999-0220

Certification Number

LAWRENCE FEINSTEIN -PRIVATE PRACTICE

Page 283 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO FOO-COLON, BEVERLY

901 SNEATH LN, STE 108

SAN BRUNO, CA 94066

Licensed Clinical Social Worker

CA License Number 12644

Other Languages SPANISH

National Provider ID 1184778276

Accepting New Patients Yes. Referral may be required.

(650) 742-2130

Certification Number

BEVERLY FOO-COLON -PRIVATE PRACTICE-

SAN MATEO FOUCHE, RACHEL

111 ANZA BLVD, STE 106

BURLINGAME, CA 94010

Marriage and Family Therapist

CA License Number MFC78638

Other Languages

National Provider ID 1639587959

Accepting New Patients Yes. Referral may be required.

(650) 938-3600

Certification Number

RACHEL FOUCHE -PRIVATE PRACTICE-

SAN MATEO GIRARD, DANA

1690 WOODSIDE RD, STE 221

REDWOOD CITY, CA 94061

Psychologist

CA License Number 25448

Other Languages

National Provider ID 1215122098

Accepting New Patients Yes. Referral may be required.

(650) 898-4549

Certification Number

DANA GIRARD -PRIVATE PRACTICE-

SAN MATEO HALLENBECK, PATRICIA

1300 UNIVERSITY DR

MENLO PARK, CA 94025

Marriage and Family Therapist

CA License Number MFC26017

Other Languages

National Provider ID 1053302687

Accepting New Patients Yes. Referral may be required.

(650) 644-6926

Certification Number

TRISH HALLENBECK

SAN MATEO HEMING, GERTRUDE

830 MENLO AVE, STE 200

MENLO PARK, CA 94025

Psychologist

CA License Number 10117

Other Languages

National Provider ID 1871684449

Accepting New Patients Yes. Referral may be required.

(650) 323-1975

Certification Number

GERTRUDE HEMING -PRIVATE PRACTICE-

SAN MATEO HENNING, DAVID

318 WESTLAKE CTR, STE 219

DALY CITY, CA 94015

Marriage and Family Therapist

CA License Number MFC35469

Other Languages

National Provider ID 1720138209

Accepting New Patients Yes. Referral may be required.

(415) 852-8484

Certification Number

DAVID HENNING -PRIVATE PRACTICE-

Page 284 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO HERTZLER, ELEANOR

1475 HUNTINGTON AVE, STE 201

SOUTH SAN FRANCI, CA 94080

Licensed Clinical Social Worker

CA License Number LCS13964

Other Languages

National Provider ID 1417054214

Accepting New Patients Yes. Referral may be required.

(650) 873-5825

Certification Number

ELEANOR HERTZLER -PRIVATE PRACTICE-

SAN MATEO HESS, KALI

61 RENATO CT, STE 17

REDWOOD CITY, CA 94061

Marriage and Family Therapist

CA License Number 31164

Other Languages

National Provider ID 1447575576

Accepting New Patients Yes. Referral may be required.

(650) 369-6304

Certification Number

KALI HESS -PRIVATE PRACTICE-

SAN MATEO HIPONA, MARIANNE

450 DONDEE ST, STE 9B

PACIFICA, CA 94044

Licensed Clinical Social Worker

CA License Number LCS6884

Other Languages

National Provider ID 1710953153

Accepting New Patients Yes. Referral may be required.

(650) 359-4326

Certification Number

MARIANNE HIPONA -PRIVATE PRACTICE-

SAN MATEO HOBBS, STEVEN

1313 LAUREL ST, STE 224B

SAN CARLOS, CA 94070

Psychologist

CA License Number PSY12645

Other Languages

National Provider ID 1992793301

Accepting New Patients Yes. Referral may be required.

(650) 595-0455

Certification Number

STEVEN A HOBBS INC

SAN MATEO ISENMAN, DAVID

120 N EL CAMINO REAL,

SAN MATEO, CA 94401

Psychiatrist

CA License Number G333640

Other Languages

National Provider ID 1225071400

Accepting New Patients Yes. Referral may be required.

(650) 579-1236

Certification Number

DAVID ISENMAN -PRIVATE PRACTICE-

SAN MATEO JAHANGIRI, MOHAMMAD

3 WATERS PARK DR, STE 224

SAN MATEO, CA 94403

Psychiatrist

CA License Number A56400

Other Languages HINDI

National Provider ID 1720266760

Accepting New Patients Yes. Referral may be required.

(650) 393-4205

Certification Number

COMPREHENSIVE PSYCHIATRIC SERV

Page 285 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO JAHANGIRI, MOHAMMAD

455 HICKEY BLVD, STE 414

DALY CITY, CA 94015

Psychiatrist

CA License Number A56400

Other Languages HINDI

National Provider ID 1720266760

Accepting New Patients Yes. Referral may be required.

(650) 301-4960

Certification Number

MOHAMMAD JAHANGIRI -PRIVATE PRACTIC

SAN MATEO JALOVAARA, ROSEMARY

437 ROBERTS RD,

PACIFICA, CA 94044

Marriage and Family Therapist

CA License Number MFC22268

Other Languages AMERICAN SIGN LANGUAGE

National Provider ID 1528176096

Accepting New Patients Yes. Referral may be required.

(650) 359-6580

Certification Number

ROSEMARY JALOVAARA -PRIVATE PRACTIC

SAN MATEO KHAN, SHAHBAZ

3 WATERS PARK DR, STE 224

SAN MATEO, CA 94403

Psychiatrist

CA License Number A53269

Other Languages FARSI

National Provider ID 1619048295

Accepting New Patients Yes. Referral may be required.

(650) 393-4205

Certification Number

SHAHBAZ KHAN -PRIVATE PRACTICE-

SAN MATEO KHAN, SHAHBAZ

455 HICKEY BLVD, STE 414

DALY CITY, CA 94015

Psychiatrist

CA License Number A53269

Other Languages FARSI

National Provider ID 1619048295

Accepting New Patients Yes. Referral may be required.

(408) 295-8111

Certification Number

SHAHBAZ KHAN -PRIVATE PRACTICE-

SAN MATEO KLAPPER, AMY

445 SHERMAN AVE, STE M

MENLO PARK, CA 94025

Marriage and Family Therapist

CA License Number MFT31598

Other Languages

National Provider ID 1770900045

Accepting New Patients Yes. Referral may be required.

(650) 286-4370

Certification Number

AMY KLAPPER -PRIVATE PRACTICE-

SAN MATEO KULJIAN, PATRICIA

1220 UNIVERSITY DR, STE 201

MENLO PARK, CA 94025

Psychologist

CA License Number PSY15526

Other Languages

National Provider ID 1346398989

Accepting New Patients Yes. Referral may be required.

(650) 888-7391

Certification Number

PATRICIA KULJIAN -PRIVATE PRACTICE-

Page 286 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO KWIATKOWSKI, MERCEDES

999 BAKER WAY, STE 420

SAN MATEO, CA 94404

Psychiatrist

CA License Number A131196

Other Languages

National Provider ID 1376718254

Accepting New Patients Yes. Referral may be required.

(650) 571-9652

Certification Number

MERCEDES KWIATKOWSKI -PRIVATE PRAC

SAN MATEO LEE, RONALD

999 BAKER WAY, STE 420

SAN MATEO, CA 94404

Psychiatrist

CA License Number A125429

Other Languages

National Provider ID 1871759761

Accepting New Patients Yes. Referral may be required.

(650) 571-9652

Certification Number

RONALD LEE -PRIVATE PRACTICE-

SAN MATEO LEVINSON, MICHAEL

25 EDWARDS CT, STE 101

BURLINGAME, CA 94010

Psychiatrist

CA License Number A63654

Other Languages RUSSIAN UKRAINIAN

National Provider ID 1306876883

Accepting New Patients Yes. Referral may be required.

(415) 596-1151

Certification Number

MICHAEL LEVINSON -PRIVATE PRACTICE-

SAN MATEO LINTNER, JEFF

1301 RALSTON AVE, BLDG E STE C

BELMONT, CA 94002

Marriage and Family Therapist

CA License Number MFC27326

Other Languages

National Provider ID 1952486953

Accepting New Patients Yes. Referral may be required.

(650) 615-8141

Certification Number

JEFF LINTNER MFT

SAN MATEO MAN, WENYAN

455 HICKEY BLVD, STE 414

DALY CITY, CA 94015

Psychiatrist

CA License Number A126714

Other Languages CHINESE

National Provider ID 1932455854

Accepting New Patients Yes. Referral may be required.

(650) 301-4960

Certification Number

WENYAN MAN -PRIVATE PRACTICE-

SAN MATEO MILLER, BATYA

735 REINA DEL MAR AVE,

PACIFICA, CA 94044

Licensed Clinical Social Worker

CA License Number LCS00006174

Other Languages

National Provider ID 1093728875

Accepting New Patients Yes. Referral may be required.

(650) 355-2102

Certification Number

BATYA MILLER -PRIVATE PRACTICE-

Page 287 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO MONTALVO, LISA

1395 SAN CARLOS AVE, C4

SAN CARLOS, CA 94070

Marriage and Family Therapist

CA License Number MFC31889

Other Languages

National Provider ID 1295713345

Accepting New Patients Yes. Referral may be required.

(650) 631-0909

Certification Number

LISA MONTALVO -PRIVATE PRACTICE-

SAN MATEO NEUWELT-TRUNTZER, SANDRA

825 OAK GROVE AVE, STE D201

MENLO PARK, CA 94025

Psychologist

CA License Number PSY7890

Other Languages

National Provider ID 1891742920

Accepting New Patients Yes. Referral may be required.

(650) 961-8773

Certification Number

SANDRA NEUWELT-TRUNTZER -PRIVATE PR

SAN MATEO NGUYEN, KIMBERLY

1710 S AMPHLETT BLVD, STE 210E

SAN MATEO, CA 94402

Marriage and Family Therapist

CA License Number MFC96981

Other Languages VIETNAMESE DUTCH

National Provider ID 1932468592

Accepting New Patients Yes. Referral may be required.

(415) 343-5520

Certification Number

KIMBERLY NGUYEN -PRIVATE PRACTICE-

SAN MATEO NIKSCH, JASON

3 WATERS PARK DR, STE 224

SAN MATEO, CA 94403

Psychiatrist

CA License Number A74019

Other Languages

National Provider ID 1609921667

Accepting New Patients Yes. Referral may be required.

(650) 393-4205

Certification Number

JASON NIKSCH -PRIVATE PRACTICE-

SAN MATEO OLSEN, AKIRA

345 LORTON AVE, STE 104

BURLINGAME, CA 94010

Psychologist

CA License Number 23573

Other Languages JAPANESE

National Provider ID 1093910184

Accepting New Patients Yes. Referral may be required.

(415) 508-7798

Certification Number

AKIRA OLSEN -PRIVATE PRACTICE-

SAN MATEO PARKE, JOHN

1053 ALAMEDA DE LAS PULGA,

BELMONT, CA 94002

Psychologist

CA License Number 18990

Other Languages

National Provider ID 1740361476

Accepting New Patients Yes. Referral may be required.

(510) 282-8089

Certification Number

JOHN PARKE -PRIVATE PRACTICE-

Page 288 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO PASCA, DARIA

999 BAKER WAY, STE 420

SAN MATEO, CA 94404

Psychiatrist

CA License Number A109438

Other Languages

National Provider ID 1427228337

Accepting New Patients Yes. Referral may be required.

(650) 571-9652

Certification Number

DARIA PASCA -PRIVATE PRACTICE-

SAN MATEO PAYTON-MIYAZAKI, YURI

445 BURGESS DR, STE 150

MENLO PARK, CA 94025

Licensed Clinical Social Worker

CA License Number 3996

Other Languages JAPANESE

National Provider ID 1598931297

Accepting New Patients Yes. Referral may be required.

(650) 328-1200

Certification Number

YURI PAYTON LCSW

SAN MATEO PETROVIC, MARIJA

455 HICKEY BLVD, STE 414

DALY CITY, CA 94015

Psychiatrist

CA License Number 127707

Other Languages GERMAN

National Provider ID 1013081835

Accepting New Patients Yes. Referral may be required.

(650) 301-4960

Certification Number

MARIJA PETROVIC -PRIVATE PRACTICE-

SAN MATEO PIENKOWSKI, DYANNE

199 CALIFORNIA DR, STE 204

MILLBRAE, CA 94030

Marriage and Family Therapist

CA License Number 21046

Other Languages

National Provider ID 1245379361

Accepting New Patients Yes. Referral may be required.

(650) 692-2302

Certification Number

DYANNE PIENKOWSKI -PRIVATE PRACTICE-

SAN MATEO PIZARRO, ERIKA

999 BAKER WAY, STE 420

SAN MATEO, CA 94404

Psychiatrist

CA License Number 138289

Other Languages

National Provider ID 1619238417

Accepting New Patients Yes. Referral may be required.

(650) 571-9652

Certification Number

ERIKA PIZARRO -PRIVATE PRACTICE-

SAN MATEO PLEANER, ALLAN

1838 EL CAMINO REAL, STE 220

BURLINGAME, CA 94010

Marriage and Family Therapist

CA License Number MFT24606

Other Languages

National Provider ID 1124160858

Accepting New Patients Yes. Referral may be required.

(415) 468-2627

Certification Number

ALLAN PLEANER -PRIVATE PRACTICE-

Page 289 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO PLEANER, ALLAN

318 WESTLAKE CTR, STE 219

DALY CITY, CA 94015

Marriage and Family Therapist

CA License Number MFT24606

Other Languages

National Provider ID 1124160858

Accepting New Patients Yes. Referral may be required.

(415) 468-2627

Certification Number

ALLAN PLEANER -PRIVATE PRACTICE-

SAN MATEO PORTER, LEANNE

1475 HUNTINGTON AVE

SOUTH SAN FRANCI, CA 94080

Marriage and Family Therapist

CA License Number MFC51843

Other Languages

National Provider ID 1023359569

Accepting New Patients Yes. Referral may be required.

(650) 375-0679

Certification Number

LEANNE PORTER -PRIVATE PRACTICE-

SAN MATEO PORTER, LEANNE

1499 BAYSHORE HWY

BURLINGAME, CA 94010

Marriage and Family Therapist

CA License Number MFC51843

Other Languages

National Provider ID 1023359569

Accepting New Patients Yes. Referral may be required.

(650) 375-0679

Certification Number

LEANNE PORTER -PRIVATE PRACTICE-

SAN MATEO PRIYANKA, PRIYANKA

999 BAKER WAY, STE 420

SAN MATEO, CA 94404

Psychiatrist

CA License Number A119376

Other Languages

National Provider ID 1881866275

Accepting New Patients Yes. Referral may be required.

(650) 571-9652

Certification Number

PRIYANKA PRIYANKA -PRIVATE PRACTICE-

SAN MATEO REED, CATHERINE

999 BAKER WAY, STE 420

SAN MATEO, CA 94404

Psychiatrist

CA License Number 80530A

Other Languages

National Provider ID 1194802033

Accepting New Patients Yes. Referral may be required.

(650) 571-9652

Certification Number

CATHERINE REED -PRIVATE PRACTICE-

SAN MATEO REMIGIO, REINA

1100 TROUSDALE DR

BURLINGAME, CA 94010

Psychologist

CA License Number PSY28764

Other Languages

National Provider ID 1417494006

Accepting New Patients Yes. Referral may be required.

(562) 904-3999

Certification Number

REINA REMIGIO -PRIVATE PRACTICE-

Page 290 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO ROSE, ARTHUR

2000 BROADWAY ST, STE 352

REDWOOD CITY, CA 94063

Marriage and Family Therapist

CA License Number 20975

Other Languages

National Provider ID 1215196902

Accepting New Patients Yes. Referral may be required.

(415) 297-1535

Certification Number

ARTHUR ROSE -PRIVATE PRACTICE-

SAN MATEO RUDNICK, CRAIG

455 HICKEY BLVD, STE 414

DALY CITY, CA 94015

Psychiatrist

CA License Number A102459

Other Languages

National Provider ID 1184831661

Accepting New Patients Yes. Referral may be required.

(650) 301-4960

Certification Number

CRAIG RUDNICK -PRIVATE PRACTICE-

SAN MATEO RUDNICK, CRAIG

3 WATERS PARK DR, STE 224

SAN MATEO, CA 94403

Psychiatrist

CA License Number A102459

Other Languages

National Provider ID 1184831661

Accepting New Patients Yes. Referral may be required.

(650) 393-4205

Certification Number

COMPREHENSIVE PSYCHIATRIC SERV

SAN MATEO SABERI, OMAL

125 NORTHWOOD DR,

SOUTH SAN FRANCI, CA 94080

Licensed Clinical Social Worker

CA License Number LCSW18959

Other Languages

National Provider ID 1992729719

Accepting New Patients Yes. Referral may be required.

(650) 329-0913

Certification Number

OMAL SABERI -PRIVATE PRACTICE-

SAN MATEO SEVERIN, ANCA

1611 BOREL PL, #211

SAN MATEO, CA 94402

Marriage and Family Therapist

CA License Number 81809

Other Languages FRENCH

National Provider ID 1245467034

Accepting New Patients Yes. Referral may be required.

(415) 407-5115

Certification Number

ANCA SEVERIN -PRIVATE PRACTICE-

SAN MATEO SMITH, MARITA

61 RENATO CT, STE 22

REDWOOD CITY, CA 94061

Marriage and Family Therapist

CA License Number MFT31524

Other Languages

National Provider ID 1194873570

Accepting New Patients Yes. Referral may be required.

(650) 286-7747

Certification Number

MARITA SMITH -PRIVATE PRACTICE-

Page 291 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO SMITH, SUSAN

999 BAKER WAY, STE 420

SAN MATEO, CA 94404

Psychiatrist

CA License Number 73621

Other Languages

National Provider ID 1194843607

Accepting New Patients Yes. Referral may be required.

(650) 571-9652

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATES BU

SAN MATEO SUBRAMANIAM, GAYATRI

1166 EL CAMINO REAL

MENLO PARK, CA 94025

Marriage and Family Therapist

CA License Number MFT98840

Other Languages

National Provider ID 1558737502

Accepting New Patients Yes. Referral may be required.

(650) 304-3906

Certification Number

GAYATRI SUBRAMANIAM -PRIVATE PRACTIC

SAN MATEO SUSSMAN, DON

120 N EL CAMINO REAL,

SAN MATEO, CA 94401

Licensed Clinical Social Worker

CA License Number LCS011460

Other Languages

National Provider ID 1346291739

Accepting New Patients Yes. Referral may be required.

(650) 315-2491

Certification Number

DON SUSSMAN -PRIVATE PRACTICE-

SAN MATEO SZPADZINSKI, RAYMOND

165 ARCH ST,

REDWOOD CITY, CA 94062

Marriage and Family Therapist

CA License Number MFC27555

Other Languages

National Provider ID 1578600771

Accepting New Patients Yes. Referral may be required.

(650) 363-0383

Certification Number

SEQUOIA COUNSELING SERVICES

SAN MATEO TAYLOR, ANNETTE

669 CRESPI DR, STE J

PACIFICA, CA 94044

Marriage and Family Therapist

CA License Number MFC46271

Other Languages

National Provider ID 1831217546

Accepting New Patients Yes. Referral may be required.

(415) 509-2906

Certification Number

ANNETTE TAYLOR -PRIVATE PRACTICE-

SAN MATEO TAYLOR, JEAN

450 DONDEE ST, STE 9

PACIFICA, CA 94044

Licensed Clinical Social Worker

CA License Number LCS6425

Other Languages

National Provider ID 1669460523

Accepting New Patients Yes. Referral may be required.

(650) 738-9550

Certification Number

JEAN B TAYLOR

Page 292 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO TITTA, CAROL

235 MAIN ST,

HALF MOON BAY, CA 94019

Licensed Professional Counselor

CA License Number LPC50549

Other Languages

National Provider ID 1285818492

Accepting New Patients Yes. Referral may be required.

(916) 207-4762

Certification Number

CAROL TITTA -PRIVATE PRACTICE-

SAN MATEO TORRES, APRIL

450 DONDEE ST, STE 9

PACIFICA, CA 94044

Marriage and Family Therapist

CA License Number 52409

Other Languages

National Provider ID 1164888376

Accepting New Patients Yes. Referral may be required.

(650) 580-5712

Certification Number

APRIL TORRES -PRIVATE PRACTICE-

SAN MATEO TOUTANT, CLAIRE

799 MAIN ST, STE D

HALF MOON BAY, CA 94019

Psychiatrist

CA License Number G43113

Other Languages

National Provider ID 1073687844

Accepting New Patients Yes. Referral may be required.

(650) 726-7826

Certification Number

CLAIRE TOUTANT -PRIVATE PRACTICE-

SAN MATEO TOUTANT, CLAIRE

725 MAIN ST,

HALF MOON BAY, CA 94019

Psychiatrist

CA License Number G43113

Other Languages

National Provider ID 1073687844

Accepting New Patients Yes. Referral may be required.

(650) 726-7826

Certification Number

CLAIRE TOUTANT -PRIVATE PRACTICE-

SAN MATEO TRESKOVICH, JACOB

455 HICKEY BLVD, STE 414

DALY CITY, CA 94015

Psychiatrist

CA License Number A127490

Other Languages

National Provider ID 1376709444

Accepting New Patients Yes. Referral may be required.

(650) 301-4960

Certification Number

JACOB TRESKOVICH -PRIVATE PRACTICE-

SAN MATEO TUNSON, MEGHAN

840 HINCKLEY RD

BURLINGAME, CA 94010

Psychologist

CA License Number PSY25752

Other Languages

National Provider ID 1649588476

Accepting New Patients Yes. Referral may be required.

(510) 868-2526

Certification Number

MEGHAN TUNSON -PRIVATE PRACTICE-

Page 293 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO WACHTER, PAUL

327 N SAN MATEO DR,

SAN MATEO, CA 94401

Psychiatrist

CA License Number G010654

Other Languages

National Provider ID 1902994528

Accepting New Patients Yes. Referral may be required.

(650) 347-9146

Certification Number

PAUL I WACHTER MD

SAN MATEO WALKER, BARBARA

318 WESTLAKE CTR, STE 219

DALY CITY, CA 94015

Marriage and Family Therapist

CA License Number MFC33837

Other Languages

National Provider ID 1184746265

Accepting New Patients Yes. Referral may be required.

(650) 219-6597

Certification Number

BARBARA WALKER -PRIVATE PRACTICE-

SAN MATEO WALKER, BARBARA

215 N SAN MATEO DR, STE 5

SAN MATEO, CA 94401

Marriage and Family Therapist

CA License Number MFC33837

Other Languages

National Provider ID 1184746265

Accepting New Patients Yes. Referral may be required.

(650) 219-6597

Certification Number

BARBARA WALKER -PRIVATE PRACTICE-

SAN MATEO WHITE, ELENA

1166 EL CAMINO REAL

MENLO PARK, CA 94025

Marriage and Family Therapist

CA License Number MFT99435

Other Languages

National Provider ID 1467894006

Accepting New Patients Yes. Referral may be required.

(650) 304-3906

Certification Number

ELENA WHITE -PRIVATE PRACTICE-

SAN MATEO WONG, STEPHANIE

327 N SAN MATEO DR, STE 7

SAN MATEO, CA 94401

Psychologist

CA License Number 25170

Other Languages

National Provider ID 1306108774

Accepting New Patients Yes. Referral may be required.

(415) 971-9722

Certification Number

STEPHANIE WONG -PRIVATE PRACTICE-

SAN MATEO YAHYA, DANIEL

455 HICKEY BLVD, STE 414

DALY CITY, CA 94015

Psychiatrist

CA License Number A116523

Other Languages

National Provider ID 1750408548

Accepting New Patients Yes. Referral may be required.

(408) 295-8111

Certification Number

DANIEL YAHYA -PRIVATE PRACTICE-

Page 294 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SAN MATEO YANG, DAN

3 WATERS PARK DR, #244

SAN MATEO, CA 94403

Psychiatrist

CA License Number A105107

Other Languages MANDARIN

National Provider ID 1114186319

Accepting New Patients Yes. Referral may be required.

(650) 393-4205

Certification Number

DAN YANG -PRIVATE PRACTICE-

SAN MATEO ZUCKER, TERRI

205 E 3RD AVE, STE 208

SAN MATEO, CA 94401

Psychologist

CA License Number PSY2549

Other Languages

National Provider ID 1295982254

Accepting New Patients Yes. Referral may be required.

(650) 759-2475

Certification Number

TERRI ZUCKER -PRIVATE PRACTICE-

SAN MATEO ZWIEBEL, LESLIE

885 OAK GROVE AVE, STE 303

MENLO PARK, CA 94025

Psychologist

CA License Number PSY13329

Other Languages

National Provider ID 1497972137

Accepting New Patients Yes. Referral may be required.

(650) 327-8764

Certification Number

LESLIE ZWIEBEL -PRIVATE PRACTICE-

SANTA CLARA ACOSTA-ANTONS, LINDA

1153 LINCOLN AVE, STE I

SAN JOSE, CA 95125

Licensed Clinical Social Worker

CA License Number 16748

Other Languages

National Provider ID 1245387604

Accepting New Patients Yes. Referral may be required.

(408) 202-8516

Certification Number

LINDA ACOSTA-ANTONS -PRIVATE PRACTIC

SANTA CLARA ADAIR, FRANK

2500 HOSPITAL DR, STE 3B

MOUNTAIN VIEW, CA 94040

Psychiatrist

CA License Number G056845

Other Languages

National Provider ID 1043242381

Accepting New Patients Yes. Referral may be required.

(650) 368-2573

Certification Number

FRANK ADAIR -PRIVATE PRACTICE-

SANTA CLARA ADAIR, FRANK

1939 THE ALAMEDA,

SAN JOSE, CA 95126

Psychiatrist

CA License Number G056845

Other Languages

National Provider ID 1043242381

Accepting New Patients Yes. Referral may be required.

(408) 241-7727

Certification Number

FRANK ADAIR -PRIVATE PRACTICE-

Page 295 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA ADRIAN, LEAH

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Marriage and Family Therapist

CA License Number 89716

Other Languages

National Provider ID 1710328430

Accepting New Patients Yes. Referral may be required.

(409) 996-7950

Certification Number

LEAH ADRIAN -PRIVATE PRACTICE-

SANTA CLARA AGUILERA, DAVID

900 LAFAYETTE ST, STE 605

SANTA CLARA, CA 95050

Psychologist

CA License Number PSY7157

Other Languages

National Provider ID 1568578805

Accepting New Patients Yes. Referral may be required.

(408) 244-9552

Certification Number

DAVID AGUILERA -PRIVATE PRACTICE-

SANTA CLARA ALLEMAND, CHERYL

800 POLLARD RD, STE B207

LOS GATOS, CA 95032

Marriage and Family Therapist

CA License Number MFC31157

Other Languages

National Provider ID 1750324380

Accepting New Patients Yes. Referral may be required.

(408) 379-3370

Certification Number

CHERYL A ALLEMAND MS LMFT

SANTA CLARA ALLOCCO, THERESA

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Licensed Clinical Social Worker

CA License Number 25041

Other Languages MANDARIN

National Provider ID 1710058292

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

BAY AREA CHILDRENS ASSOCIATION

SANTA CLARA ALUZRI, ANTONELLA

841 BLOSSOM HILL RD, STE 20

SAN JOSE, CA 95123

Psychologist

CA License Number PSY18462

Other Languages ITALIAN

National Provider ID 1992972624

Accepting New Patients Yes. Referral may be required.

(408) 363-6533

Certification Number

ANTONELLA ALUZRI -PRIVATE PRACTICE-

SANTA CLARA ANNIS, FRANK

288 QUINNHILL RD,

LOS ALTOS, CA 94024

Psychiatrist

CA License Number C32617

Other Languages

National Provider ID 1265536494

Accepting New Patients Yes. Referral may be required.

(650) 949-4433

Certification Number

FRANK ANNIS -PRIVATE PRACTICE-

Page 296 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA ATANASSOVA, NINA

640 MILLICH DR, UNIT B

SAN JOSE, CA 95117

Marriage and Family Therapist

CA License Number 47465

Other Languages BULGARIAN

National Provider ID 1396869715

Accepting New Patients Yes. Referral may be required.

(408) 506-0305

Certification Number

NINA ATANASSOVA -PRIVATE PRACTICE-

SANTA CLARA AUZA, MICHAEL

1570 THE ALAMEDA, STE 226

SAN JOSE, CA 95126

Psychiatrist

CA License Number A114483

Other Languages

National Provider ID 1649560673

Accepting New Patients Yes. Referral may be required.

(925) 944-1733

Certification Number

COMPREHENSIVE PSYCHIATRIC SERV

SANTA CLARA BARKHURST, SUSAN

2680 BAYSHORE PKWY, STE 101

MOUNTAIN VIEW, CA 94043

Marriage and Family Therapist

CA License Number MFC17698

Other Languages

National Provider ID 1881738441

Accepting New Patients Yes. Referral may be required.

(925) 417-7027

Certification Number

SUSAN BARKHURST -PRIVATE PRACTICE-

SANTA CLARA BASILE, ELIZABETH

201 SAN ANTONIO CIR, STE C125

MOUNTAIN VIEW, CA 94040

Marriage and Family Therapist

CA License Number 48300

Other Languages

National Provider ID 1790061497

Accepting New Patients Yes. Referral may be required.

(408) 718-6915

Certification Number

ELIZABETH BASILE -PRIVATE PRACTICE-

SANTA CLARA BATES, PAMELA

1101 S WINCHESTER BLVD, STE H 186

SAN JOSE, CA 95128

Marriage and Family Therapist

CA License Number 37488

Other Languages

National Provider ID 1538206867

Accepting New Patients Yes. Referral may be required.

(408) 278-5114

Certification Number

PAMELA BATES -PRIVATE PRACTICE-

SANTA CLARA BATSON, ELIZABETH

1101 S WINCHESTER BLVD, STE A101

SAN JOSE, CA 95128

Marriage and Family Therapist

CA License Number 51584

Other Languages

National Provider ID 1073938304

Accepting New Patients Yes. Referral may be required.

(408) 462-2443

Certification Number

ELIZABETH BATSON -PRIVATE PRACTICE-

Page 297 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA BECKER, JEFFREY

1625 THE ALAMEDA, STE 512

SAN JOSE, CA 95126

Psychologist

CA License Number PSY3935

Other Languages

National Provider ID 1588788061

Accepting New Patients Yes. Referral may be required.

(408) 293-6313

Certification Number

JEFFREY BECKER

SANTA CLARA BERMAN, CHERYL

2680 BAYSHORE PKWY, STE 101

MOUNTAIN VIEW, CA 94043

Marriage and Family Therapist

CA License Number MFT22753

Other Languages

National Provider ID 1720129968

Accepting New Patients Yes. Referral may be required.

(650) 964-5200

Certification Number

CHERYL BERMAN -PRIVATE PRACTICE-

SANTA CLARA BERMAN, CHERYL

2680 BAYSHORE PKWY, STE 101

MOUNTAIN VIEW, CA 94043

Marriage and Family Therapist

CA License Number 22753

Other Languages

National Provider ID 1720129968

Accepting New Patients Yes. Referral may be required.

(650) 964-5200

Certification Number

CHERYL BERMAN -PRIVATE PRACTICE-

SANTA CLARA BERTI, DONALD

4990 SPEAK LN, STE 100

SAN JOSE, CA 95118

Marriage and Family Therapist

CA License Number 15116

Other Languages

National Provider ID 1235322942

Accepting New Patients Yes. Referral may be required.

(415) 647-7331

Certification Number

DONALD BERTI -PRIVATE PRACTICE-

SANTA CLARA BLISS, ANNE-MARIE

1885 THE ALAMEDA, STE 209E

SAN JOSE, CA 95126

Marriage and Family Therapist

CA License Number MFC44704

Other Languages

National Provider ID 1902125966

Accepting New Patients Yes. Referral may be required.

(408) 367-9547

Certification Number

ANNE-MARIE BLISS -PRIVATE PRACTICE-

SANTA CLARA BLOCKIE, YVONNE

4100 MOORPARK AVE, STE 120

SAN JOSE, CA 95117

Marriage and Family Therapist

CA License Number LMFT30308

Other Languages

National Provider ID 1417988940

Accepting New Patients Yes. Referral may be required.

(408) 235-0872

Certification Number

YVONNE BLOCKIE -PRIVATE PRACTICE-

Page 298 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA BLOCKIE, YVONNE

4100 MOORPARK AVE, STE 120

SAN JOSE, CA 95117

Marriage and Family Therapist

CA License Number MFC30308

Other Languages

National Provider ID 1417988940

Accepting New Patients Yes. Referral may be required.

(408) 235-0872

Certification Number

YVONNE BLOCKIE -PRIVATE PRACTICE-

SANTA CLARA BOHAN, DENNIS

6146 CAMINO VERDE DR, STE N4

SAN JOSE, CA 95119

Marriage and Family Therapist

CA License Number MFC12115

Other Languages

National Provider ID 1801906649

Accepting New Patients Yes. Referral may be required.

(408) 629-5951

Certification Number

DENNIS BOHAN -PRIVATE PRACTICE-

SANTA CLARA BOHL, ERIC

4990 SPEAK LN, STE 100

SAN JOSE, CA 95118

Marriage and Family Therapist

CA License Number MFC22765

Other Languages

National Provider ID 1427251271

Accepting New Patients Yes. Referral may be required.

(408) 266-7826

Certification Number

ERIC J BOHL MS LMFT

SANTA CLARA BRODERICK, CHRISTINE

2901 MOORPARK AVE, STE 270

SAN JOSE, CA 95128

Marriage and Family Therapist

CA License Number MFT22084

Other Languages

National Provider ID 1174932305

Accepting New Patients Yes. Referral may be required.

(408) 912-5262

Certification Number

CHRISTINE BRODERICK -PRIVATE PRACTIC

SANTA CLARA BROTHERS, CLIFFORD

1101 S WINCHESTER, STE 284 BLDG 0

SAN JOSE, CA 95128

Psychologist

CA License Number PSY7003

Other Languages

National Provider ID 1700935160

Accepting New Patients Yes. Referral may be required.

(408) 271-8558

Certification Number

CLIFFORD BROTHERS -PRIVATE PRACTICE-

SANTA CLARA BROWN, MICHAEL

15495 LOS GATOS BLVD, STE 5

LOS GATOS, CA 95032

Marriage and Family Therapist

CA License Number LMFT45570

Other Languages

National Provider ID 1396905964

Accepting New Patients Yes. Referral may be required.

(408) 981-4224

Certification Number

MICHAEL BROWN -PRIVATE PRACTICE-

Page 299 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA BROWN, NAOMI

560 OXFORD ST, SUITE 6A

PALO ALTO, CA 94306

Psychologist

CA License Number 16069

Other Languages JAPANESE

National Provider ID 1740403823

Accepting New Patients Yes. Referral may be required.

(650) 766-5902

Certification Number

NAOMI BROWN -PRIVATE PRACTICE-

SANTA CLARA BUTLER, THOMAS

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Psychiatrist

CA License Number 130025

Other Languages

National Provider ID 1548552979

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

BAY AREA CHILDRENS ASSOCIATION

SANTA CLARA CAMPBELL, PATRICIA

2485 HOSPITAL DR, STE 351

MOUNTAIN VIEW, CA 94040

Psychologist

CA License Number 18475

Other Languages

National Provider ID 1871675363

Accepting New Patients Yes. Referral may be required.

(650) 988-7894

Certification Number

PATRICIA CAMPBELL -PRIVATE PRACTICE-

SANTA CLARA CAMPBELL, RHONDA

1031 RUGE DR,

SAN JOSE, CA 95132

Marriage and Family Therapist

CA License Number MFT32415

Other Languages

National Provider ID 1285726141

Accepting New Patients Yes. Referral may be required.

(408) 259-1933

Certification Number

RHONDA CAMPBELL -PRIVATE PRACTICE-

SANTA CLARA CARDIA, ROSALIND

315 LOS GATOS SARATOGA RD

LOS GATOS, CA 95030

Marriage and Family Therapist

CA License Number MFC49322

Other Languages

National Provider ID 1386946671

Accepting New Patients Yes. Referral may be required.

(408) 608-8007

Certification Number

ROSALIND CARDIA -PRIVATE PRACTICE-

SANTA CLARA CARNEY, ADRIA

1922 THE ALAMEDA, SUITE 440

SAN JOSE, CA 95126

Psychiatrist

CA License Number 134321

Other Languages

National Provider ID 1821209594

Accepting New Patients Yes. Referral may be required.

(408) 400-0333

Certification Number

ADRIA CARNEY -PRIVATE PRACTICE-

Page 300 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA CARVER, ROSE MARIE

1885 THE ALAMEDA, STE 131

SAN JOSE, CA 95126

Licensed Clinical Social Worker

CA License Number 17886

Other Languages CROATIAN

National Provider ID 1013261981

Accepting New Patients Yes. Referral may be required.

(408) 236-3764

Certification Number

ROSE MARIE CARVER -PRIVATE PRACTICE-

SANTA CLARA CHANDLER, EMILY

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Marriage and Family Therapist

CA License Number 86956

Other Languages

National Provider ID 1841429396

Accepting New Patients Yes. Referral may be required.

(409) 996-7950

Certification Number

EMILY CHANDLER -PRIVATE PRACTICE-

SANTA CLARA CHAWLA, VANITA

1530 THE ALAMEDA, STE 315

SAN JOSE, CA 95126

Psychiatrist

CA License Number A79515

Other Languages

National Provider ID 1548449135

Accepting New Patients Yes. Referral may be required.

(408) 295-8111

Certification Number

VANITA CHAWLA -PRIVATE PRACTICE-

SANTA CLARA CHIN, MILIANNE

85 SARATOGA AVE, STE 120

SANTA CLARA, CA 95051

Marriage and Family Therapist

CA License Number LPCC1625

Other Languages

National Provider ID 1457452344

Accepting New Patients Yes. Referral may be required.

(408) 507-1454

Certification Number

MILIANNE CHIN -PRIVATE PRACTICE-

SANTA CLARA CHIU, COLLINS

1885 THE ALAMEDA, STE 100-I

SAN JOSE, CA 95126

Psychologist

CA License Number 21063

Other Languages CHINESE MANDARIN

National Provider ID 1013087279

Accepting New Patients Yes. Referral may be required.

(408) 930-8383

Certification Number

COLLINS CHIU -PRIVATE PRACTICE-

SANTA CLARA CHUNG, DENNIS

2880 ZANKER RD, STE 203

SAN JOSE, CA 95134

Psychologist

CA License Number 25206

Other Languages CHINESE

National Provider ID 1497069215

Accepting New Patients Yes. Referral may be required.

(510) 449-3386

Certification Number

DENNIS CHUNG -PRIVATE PRACTICE-

Page 301 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA COHEN, ELLEN

30 UNION AVE, STE 121

CAMPBELL, CA 95008

Marriage and Family Therapist

CA License Number 31308

Other Languages

National Provider ID 1205919735

Accepting New Patients Yes. Referral may be required.

(408) 857-6799

Certification Number

ELLEN A COHEN MA

SANTA CLARA COHEN, ERIC

2251 GRANT RD, STE H

LOS ALTOS, CA 94024

Psychologist

CA License Number PSY7672

Other Languages

National Provider ID 1871516658

Accepting New Patients Yes. Referral may be required.

(650) 965-2127

Certification Number

ERIC COHEN -PRIVATE PRACTICE-

SANTA CLARA COOPER, KRISTINA

220 N CALIFORNIA AVE,

PALO ALTO, CA 94301

Marriage and Family Therapist

CA License Number MFT33659

Other Languages

National Provider ID 1528281151

Accepting New Patients Yes. Referral may be required.

(650) 619-7213

Certification Number

KRISTINA COOPER -PRIVATE PRACTICE-

SANTA CLARA CORELLI, RICHARD

943 MIDDLEFIELD RD,

PALO ALTO, CA 94301

Psychiatrist

CA License Number G32503

Other Languages

National Provider ID 1912995507

Accepting New Patients Yes. Referral may be required.

(650) 326-1915

Certification Number

RICHARD J CORELLI MD

SANTA CLARA CRETCHER, DONNA

60 W MAIN AVE, STE 11A

MORGAN HILL, CA 95037

Licensed Clinical Social Worker

CA License Number 11541

Other Languages

National Provider ID 1952418600

Accepting New Patients Yes. Referral may be required.

(408) 779-1385

Certification Number

DONNA COHEN CRETCHER

SANTA CLARA DAUBER, ELLEN

4110 MOORPARK AVE, STE 116

SAN JOSE, CA 95117

Marriage and Family Therapist

CA License Number 7502

Other Languages

National Provider ID 1699987024

Accepting New Patients Yes. Referral may be required.

(408) 354-8176

Certification Number

ELLEN DAUBER -PRIVATE PRACTICE-

Page 302 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA DAUL, JULIE

950 W JULIAN ST

SAN JOSE, CA 95126

Licensed Clinical Social Worker

CA License Number LCS6996

Other Languages SPANISH

National Provider ID 1497889018

Accepting New Patients Yes. Referral may be required.

(650) 326-6576

Certification Number

FAMILY & CHILDREN SERVICES

SANTA CLARA DAUL, JULIE

375 CAMBRIDGE AVE

PALO ALTO, CA 94306

Licensed Clinical Social Worker

CA License Number LCS6996

Other Languages SPANISH

National Provider ID 1497889018

Accepting New Patients Yes. Referral may be required.

(650) 326-6576

Certification Number

FAMILY & CHILDREN SERVICES

SANTA CLARA DAVIS, DANIEL

1588 HOMESTEAD RD, STE 1

SANTA CLARA, CA 95050

Marriage and Family Therapist

CA License Number MFC35938

Other Languages

National Provider ID 1437173457

Accepting New Patients Yes. Referral may be required.

(408) 249-0014

Certification Number

DANIEL DAVIS -PRIVATE PRACTICE-

SANTA CLARA DECKER, MARLENE

2512 SAMARITAN CT,

SAN JOSE, CA 95124

Marriage and Family Therapist

CA License Number MFC25426

Other Languages

National Provider ID 1881802478

Accepting New Patients Yes. Referral may be required.

(408) 486-9357

Certification Number

MARLENE DECKER -PRIVATE PRACTICE-

SANTA CLARA DITTER, SUSAN

1530 THE ALAMEDA, STE 315

SAN JOSE, CA 95126

Psychiatrist

CA License Number G87843

Other Languages

National Provider ID 1710188438

Accepting New Patients Yes. Referral may be required.

(408) 295-8111

Certification Number

SUSAN DITTER -PRIVATE PRACTICE-

SANTA CLARA EVERSTINE, LOUIS

20863 STEVENS CREEK BLVD, STE 580

CUPERTINO, CA 95014

Psychologist

CA License Number PSY4557

Other Languages

National Provider ID 1265585996

Accepting New Patients Yes. Referral may be required.

(408) 342-0610

Certification Number

LOUIS EVERSTINE -PRIVATE PRACTICE-

Page 303 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA FAN, KATHERINE

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Psychiatrist

CA License Number G104114

Other Languages MANDARIN

National Provider ID 1720283294

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

KATHERINE FAN -PRIVATE PRACTICE-

SANTA CLARA FANIBANDA, DARIUS

15810 LOS GATOS BLVD,

LOS GATOS, CA 95032

Psychologist

CA License Number PSY00005108

Other Languages HINDI GUJARATI

National Provider ID 1205925021

Accepting New Patients Yes. Referral may be required.

(408) 354-5071

Certification Number

DARIUS FANIBANDA -PRIVATE PRACTICE-

SANTA CLARA FREEDMAN, LISA

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Marriage and Family Therapist

CA License Number 50947

Other Languages

National Provider ID 1497822035

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

BAY AREA CHILDRENS ASSOCIATION

SANTA CLARA FUNK, DARICE

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Marriage and Family Therapist

CA License Number 48842

Other Languages

National Provider ID 1609946144

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

DARICE FUNK -PRIVATE PRACTICE-

SANTA CLARA GARCIA, LILIAN

1588 HOMESTEAD RD, # 7

SANTA CLARA, CA 95050

Marriage and Family Therapist

CA License Number MFT85016

Other Languages

National Provider ID 1033460159

Accepting New Patients Yes. Referral may be required.

(650) 690-2997

Certification Number

LILIAN GARCIA -PRIVATE PRACTICE-

SANTA CLARA GIFFORD, SARA

2680 BAYSHORE PKWY, STE 301

MOUNTAIN VIEW, CA 94043

Marriage and Family Therapist

CA License Number MFC48594

Other Languages

National Provider ID 1134497027

Accepting New Patients Yes. Referral may be required.

(650) 814-4686

Certification Number

SARA GIFFORD -PRIVATE PRACTICE-

Page 304 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA GILL, JOSEPH

920 SARATOGA AVE, STE 205

SAN JOSE, CA 95129

Marriage and Family Therapist

CA License Number 7506

Other Languages

National Provider ID 1578621447

Accepting New Patients Yes. Referral may be required.

(408) 246-1128

Certification Number

JOSEPH GILL -PRIVATE PRACTICE-

SANTA CLARA GIRCZYC, CLAIRE

1059 EL MONTE AVE, STE B

MOUNTAIN VIEW, CA 94040

Marriage and Family Therapist

CA License Number MFT37042

Other Languages

National Provider ID 1407180516

Accepting New Patients Yes. Referral may be required.

(650) 488-7353

Certification Number

CLAIRE GIRCZYC -PRIVATE PRACTICE-

SANTA CLARA GLIGAN, SONIA

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Licensed Clinical Social Worker

CA License Number LCS67586

Other Languages

National Provider ID 1871873802

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

SONIA GLIGAN -PRIVATE PRACTICE-

SANTA CLARA GOLDSTEIN, RACHEL

505 W OLIVE AVE, STE 110

SUNNYVALE, CA 94086

Psychiatrist

CA License Number A98443

Other Languages

National Provider ID 1891979738

Accepting New Patients Yes. Referral may be required.

(650) 380-3823

Certification Number

RACHEL GOLDSTEIN -PRIVATE PRACTICE-

SANTA CLARA GOLDSTEIN, VIRGINIE

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Marriage and Family Therapist

CA License Number 45547

Other Languages

National Provider ID 1396982013

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

BAY AREA CHILDRENS ASSOCIATION

SANTA CLARA GORALNICK, JAIMIE

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Psychiatrist

CA License Number 128245

Other Languages

National Provider ID 1225295900

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

BAY AREA CHILDRENS ASSOCIATION

Page 305 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA GOSS, VALERIE

329 S SAN ANTONIO RD, STE 3

LOS ALTOS, CA 94022

Marriage and Family Therapist

CA License Number 38086

Other Languages

National Provider ID 1821006891

Accepting New Patients Yes. Referral may be required.

(650) 279-7717

Certification Number

VALERIE GOSS MFT

SANTA CLARA GREEN, MYRNA

440 SHERMAN AVE, STE 103

PALO ALTO, CA 94306

Psychologist

CA License Number PSY5092

Other Languages

National Provider ID 1467529776

Accepting New Patients Yes. Referral may be required.

(650) 328-1417

Certification Number

MYRNA GREEN -PRIVATE PRACTICE-

SANTA CLARA GRISWOLD, BARBARA

4100 MOORPARK AVE, STE 116

SAN JOSE, CA 95117

Marriage and Family Therapist

CA License Number MFC27210

Other Languages

National Provider ID 1386652212

Accepting New Patients Yes. Referral may be required.

(408) 985-0846

Certification Number

BARBARA C GRISWOLD MFT

SANTA CLARA GURIN, ANITA

200 JOSE FIGUERES AVE, STE 265

SAN JOSE, CA 95116

Marriage and Family Therapist

CA License Number 43021

Other Languages

National Provider ID 1780741371

Accepting New Patients Yes. Referral may be required.

(408) 770-9671

Certification Number

ANITA GURIN -PRIVATE PRACTICE-

SANTA CLARA GURIN, ANITA

841 BLOSSOM HILL RD, STE 209

SAN JOSE, CA 95123

Marriage and Family Therapist

CA License Number 43021

Other Languages

National Provider ID 1780741371

Accepting New Patients Yes. Referral may be required.

(408) 363-6533

Certification Number

ANITA GURIN -PRIVATE PRACTICE-

SANTA CLARA HALSEY, CHRISTINA

51 E CAMPBELL AVE, STE 170

CAMPBELL, CA 95008

Psychologist

CA License Number PSY13197

Other Languages

National Provider ID 1922211028

Accepting New Patients Yes. Referral may be required.

(408) 356-0099

Certification Number

CHRISTINA HALSEY -PRIVATE PRACTICE-

Page 306 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA HARKNESS, CHRISTOPHER

220 S CALIFORNIA AVE, STE 120

PALO ALTO, CA 94306

Psychologist

CA License Number 14296

Other Languages

National Provider ID 1518089457

Accepting New Patients Yes. Referral may be required.

(650) 321-4935

Certification Number

CHRISTOPHER HARKNESS -PRIVATE PRACT

SANTA CLARA HENRY WESTWOOD, SCOTT

1190 PARK AVE, UNIT B

SAN JOSE, CA 95126

Professional Clinical Counselor

CA License Number LCI04531115

Other Languages

National Provider ID 1326400128

Accepting New Patients Yes. Referral may be required.

(408) 203-0964

Certification Number

SCOTT HENRY WESTWOOD -PRIVATE PRAC

SANTA CLARA HENRY, MARITZA

940 SARATOGA AVE, STE 104

SAN JOSE, CA 95129

Marriage and Family Therapist

CA License Number MFC38496

Other Languages AFRICAN ASSAMESE SPANISH

National Provider ID 1366601742

Accepting New Patients Yes. Referral may be required.

(408) 857-3421

Certification Number

MARITZA HENRY -PRIVATE PRACTICE-

SANTA CLARA HENRY, MARITZA

950 W JULIAN ST

SAN JOSE, CA 95126

Marriage and Family Therapist

CA License Number MFC38496

Other Languages AFRICAN ASSAMESE SPANISH

National Provider ID 1366601742

Accepting New Patients Yes. Referral may be required.

(408) 292-9353

Certification Number

MARITZA HENRY -PRIVATE PRACTICE-

SANTA CLARA HERON, SARA

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Psychiatrist

CA License Number A112236

Other Languages

National Provider ID 1417103383

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

SARA HERON -PRIVATE PRACTICE-

SANTA CLARA HO, GRACE

2880 ZANKER RD,

SAN JOSE, CA 95134

Psychologist

CA License Number PSY20942

Other Languages CHINESE TAGALOG MANDARIN

National Provider ID 1154533602

Accepting New Patients Yes. Referral may be required.

(510) 449-3386

Certification Number

GRACE HO -PRIVATE PRACTICE-

Page 307 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA HOLMES, CAROLYN KAY

1885 THE ALAMEDA, STE 131

SAN JOSE, CA 95126

Licensed Clinical Social Worker

CA License Number LCS3433

Other Languages

National Provider ID 1245419522

Accepting New Patients Yes. Referral may be required.

(408) 866-9234

Certification Number

KAY HOLMES MFT RN

SANTA CLARA HSIANG, SYLVIA

20810 BOYCE LN,

SARATOGA, CA 95070

Marriage and Family Therapist

CA License Number LPCC1529

Other Languages CHINESE MANDARIN

National Provider ID 1053516237

Accepting New Patients Yes. Referral may be required.

(408) 868-9095

Certification Number

SYLVIA HSIANG -PRIVATE PRACTICE-

SANTA CLARA HU, TRUDY

3742 EVANGELHO CIR,

SAN JOSE, CA 95148

Psychologist

CA License Number LMT46083

Other Languages CHINESE

National Provider ID 1184605602

Accepting New Patients Yes. Referral may be required.

(503) 895-8360

Certification Number

TRUDY HU -PRIVATE PRACTICE-

SANTA CLARA HU, TRUDY

3742 EVANGELHO CIR

SAN JOSE, CA 95148

Psychologist

CA License Number PSY1473

Other Languages CHINESE

National Provider ID 1184605602

Accepting New Patients Yes. Referral may be required.

(503) 895-8360

Certification Number

TRUDY HU -PRIVATE PRACTICE-

SANTA CLARA ISENMAN, DAVID

10038 ORANGE AVE,

CUPERTINO, CA 95014

Psychiatrist

CA License Number G333640

Other Languages

National Provider ID 1225071400

Accepting New Patients Yes. Referral may be required.

(650) 579-1236

Certification Number

DAVID ISENMAN -PRIVATE PRACTICE-

SANTA CLARA JAHANGIRI, MOHAMMAD

1570 THE ALAMEDA, STE 226

SAN JOSE, CA 95126

Psychiatrist

CA License Number A56400

Other Languages HINDI

National Provider ID 1720266760

Accepting New Patients Yes. Referral may be required.

(925) 944-1733

Certification Number

COMPREHENSIVE PSYCHIATRIC SERV

Page 308 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA JENNETT, JEAN

6105 SNELL AVE, STE 101

SAN JOSE, CA 95123

Psychologist

CA License Number PSY10628

Other Languages

National Provider ID 1033217047

Accepting New Patients Yes. Referral may be required.

(408) 281-2252

Certification Number

JEAN JENNETT -PRIVATE PRACTICE-

SANTA CLARA JHA, NEETA

830 HILLVIEW CT, STE 260

MILPITAS, CA 95035

Marriage and Family Therapist

CA License Number MFC39303

Other Languages URDU

National Provider ID 1477654432

Accepting New Patients Yes. Referral may be required.

(408) 882-5019

Certification Number

NEETA JHA -PRIVATE PRACTICE-

SANTA CLARA JOHNSON CARCICH, MELINDA

800 POLLARD RD, STE B207

LOS GATOS, CA 95032

Marriage and Family Therapist

CA License Number 44024

Other Languages

National Provider ID 1508020520

Accepting New Patients Yes. Referral may be required.

(408) 975-2991

Certification Number

MELINDA JOHNSON CARCICH -PRIVATE PRA

SANTA CLARA JOHNSON, SHERRY

1588 HOMESTEAD RD, Suite 11

SANTA CLARA, CA 95050

Marriage and Family Therapist

CA License Number MFC36912

Other Languages AMERICAN SIGN LANGUAGE

National Provider ID 1740422484

Accepting New Patients Yes. Referral may be required.

(408) 510-4848

Certification Number

SHERRY JOHNSON -PRIVATE PRACTICE-

SANTA CLARA JOHNSON-SCHROETLIN, CAROL

605 TENNANT AVE, STE I

MORGAN HILL, CA 95037

Psychologist

CA License Number 19303

Other Languages

National Provider ID 1831230499

Accepting New Patients Yes. Referral may be required.

(408) 887-2008

Certification Number

CAROL ANN JOHNSON SCHROETLIN

SANTA CLARA JONES, GAIL

830 HILLVIEW CT, STE 260

MILPITAS, CA 95035

Licensed Clinical Social Worker

CA License Number LM9567

Other Languages

National Provider ID 1093816308

Accepting New Patients Yes. Referral may be required.

(408) 946-5757

Certification Number

GAIL JONES -PRIVATE PRACTICE-

Page 309 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA KAPOOR, SHILPA

1525 MCCARTHY BLVD, STE 1000

MILPITAS, CA 95035

Psychologist

CA License Number 26333

Other Languages

National Provider ID 1730313784

Accepting New Patients Yes. Referral may be required.

(408) 520-1002

Certification Number

SHILPA KAPOOR -PRIVATE PRACTICE-

SANTA CLARA KASPAR, CHARLES

3140 DE LA CRUZ BLVD, STE 200

SANTA CLARA, CA 95054

Marriage and Family Therapist

CA License Number MFT17395

Other Languages

National Provider ID 1023238524

Accepting New Patients Yes. Referral may be required.

(408) 988-1182

Certification Number

CHUCK KASPAR LMFT

SANTA CLARA KASTEEN, KARA

30 UNION AVE, STE 125

CAMPBELL, CA 95008

Licensed Clinical Social Worker

CA License Number 25282

Other Languages

National Provider ID 1346473295

Accepting New Patients Yes. Referral may be required.

(408) 673-8646

Certification Number

KARA KASTEEN -PRIVATE PRACTICE-

SANTA CLARA KEARNY, JAN

1040 LINCOLN AVE,

SAN JOSE, CA 95125

Psychologist

CA License Number PSY23808

Other Languages

National Provider ID 1083774343

Accepting New Patients Yes. Referral may be required.

(408) 293-4489

Certification Number

JAN KEARNY -PRIVATE PRACTICE-

SANTA CLARA KESSLER, MOIRA

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Psychiatrist

CA License Number A125267

Other Languages

National Provider ID 1750600458

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

MOIRA KESSLER -PRIVATE PRACTICE-

SANTA CLARA KHAN, SHAHBAZ

1570 THE ALAMEDA, STE 226

SAN JOSE, CA 95126

Psychiatrist

CA License Number A53269

Other Languages FARSI

National Provider ID 1619048295

Accepting New Patients Yes. Referral may be required.

(510) 774-3688

Certification Number

SHAHBAZ KHAN -PRIVATE PRACTICE-

Page 310 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA KIDD, PATRICIA

1939 THE ALAMEDA,

SAN JOSE, CA 95126

Marriage and Family Therapist

CA License Number MFT31882

Other Languages

National Provider ID 1063625242

Accepting New Patients Yes. Referral may be required.

(408) 393-4525

Certification Number

PATRICIA KIDD -PRIVATE PRACTICE-

SANTA CLARA KNOEPLER, SETH

415 CAMBRIDGE AVE, STE 15

PALO ALTO, CA 94306

Psychologist

CA License Number PSY14235

Other Languages

National Provider ID 1598811705

Accepting New Patients Yes. Referral may be required.

(650) 787-2111

Certification Number

SETH KNOEPLER -PRIVATE PRACTICE-

SANTA CLARA KRAITH, TERESA

2475 MARSHA WAY,

SAN JOSE, CA 95125

Psychologist

CA License Number 8251

Other Languages

National Provider ID 1528179389

Accepting New Patients Yes. Referral may be required.

(408) 445-1735

Certification Number

TERESA KRAITH PHD

SANTA CLARA KRISHNAN, VIDYA

1530 THE ALAMEDA, STE 315

SAN JOSE, CA 95126

Psychiatrist

CA License Number A96938

Other Languages HINDI

National Provider ID 1790967594

Accepting New Patients Yes. Referral may be required.

(408) 295-8111

Certification Number

VIDYA KRISHNAN -PRIVATE PRACTICE-

SANTA CLARA LAPID, CATHY

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Licensed Clinical Social Worker

CA License Number 28269

Other Languages

National Provider ID 1780883926

Accepting New Patients Yes. Referral may be required.

(409) 996-7950

Certification Number

CATHY LAPID -PRIVATE PRACTICE-

SANTA CLARA LE, PHUONG-THUY

200 JOSE FIGUERES AVE, STE 250

SAN JOSE, CA 95116

Psychiatrist

CA License Number A44501

Other Languages VIETNAMESE

National Provider ID 1659457315

Accepting New Patients Yes. Referral may be required.

(408) 259-6022

Certification Number

PHUONG-THUY LE -PRIVATE PRACTICE-

Page 311 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA LEE, GENIE

4990 SPEAK LN,

SAN JOSE, CA 95118

Marriage and Family Therapist

CA License Number MFC37440

Other Languages

National Provider ID 1356480305

Accepting New Patients Yes. Referral may be required.

(408) 449-1762

Certification Number

GENIE LEE -PRIVATE PRACTICE-

SANTA CLARA LEE, WEI-CHIEN

1132 MCKENDRIE ST,

SAN JOSE, CA 95126

Psychologist

CA License Number PSY21222

Other Languages CHINESE MANDARIN

National Provider ID 1063651750

Accepting New Patients Yes. Referral may be required.

(408) 656-3892

Certification Number

WEI-CHIEN LEE -PRIVATE PRACTICE-

SANTA CLARA LI, ALICE

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Psychiatrist

CA License Number A97107

Other Languages

National Provider ID 1922254077

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

BAY AREA CHILDRENS ASSOCIATION

SANTA CLARA LIU, SASHA

12770 SARATOGA AVE, ROOM #3

SARATOGA, CA 95070

Marriage and Family Therapist

CA License Number 48890

Other Languages CHINESE MANDARIN

National Provider ID 1891996724

Accepting New Patients Yes. Referral may be required.

(408) 236-2056

Certification Number

SASHA LIU -PRIVATE PRACTICE-

SANTA CLARA LOFFER, SHIRLEY

160 SARATOGA AVE, STE 210

SANTA CLARA, CA 95051

Psychologist

CA License Number PSY18513

Other Languages

National Provider ID 1487877072

Accepting New Patients Yes. Referral may be required.

(408) 248-6604

Certification Number

SHIRLEY LOFFER -PRIVATE PRACTICE-

SANTA CLARA LOMOVSKAYA, ANNA

630B UNIVERSITY AVE,

PALO ALTO, CA 94301

Marriage and Family Therapist

CA License Number 87276

Other Languages RUSSIAN

National Provider ID 1427320225

Accepting New Patients Yes. Referral may be required.

(415) 307-0639

Certification Number

ANNA LOMOVSKAYA -PRIVATE PRACTICE-

Page 312 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA LONDON, MELODY

920 SARATOGA AVE, STE 105B

SAN JOSE, CA 95129

Psychologist

CA License Number PSY16200

Other Languages

National Provider ID 1891729273

Accepting New Patients Yes. Referral may be required.

(408) 247-1140

Certification Number

MELODY LONDON -PRIVATE PRACTICE-

SANTA CLARA LUDDEN, ERIN

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Marriage and Family Therapist

CA License Number 53906

Other Languages

National Provider ID 1154550606

Accepting New Patients Yes. Referral may be required.

(409) 996-7950

Certification Number

ERIN LUDDEN -PRIVATE PRACTICE-

SANTA CLARA MAI, THINH

841 BLOSSOM HILL RD, STE 209

SAN JOSE, CA 95123

Psychiatrist

CA License Number A107289

Other Languages VIETNAMESE VIETNAMESE SPANISH

National Provider ID 1558505750

Accepting New Patients Yes. Referral may be required.

(408) 363-6533

Certification Number

THINH MAI -PRIVATE PRACTICE-

SANTA CLARA MARTIN, SHARON

1190 S BASCOM AVE, STE 208

SAN JOSE, CA 95128

Licensed Clinical Social Worker

CA License Number 19355

Other Languages

National Provider ID 1164531885

Accepting New Patients Yes. Referral may be required.

(408) 982-6535

Certification Number

SHARON MARTIN -PRIVATE PRACTICE-

SANTA CLARA MATT, JOAN

155 E CAMPBELL AVE, STE 120

CAMPBELL, CA 95008

Marriage and Family Therapist

CA License Number LMFT34941

Other Languages

National Provider ID 1497944276

Accepting New Patients Yes. Referral may be required.

(408) 499-2929

Certification Number

JOAN MATT -PRIVATE PRACTICE-

Page 313 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA MCELVAIN, LARRY

16275 MONTEREY RD, STE C

MORGAN HILL, CA 95037

Marriage and Family Therapist

CA License Number MFC41565

Other Languages

National Provider ID 1174774962

Accepting New Patients Yes. Referral may be required.

(408) 778-5120

Certification Number

LARRY MCELVAIN -PRIVATE PRACTICE-

SANTA CLARA MEDARO, ANTHONY

3880 S BASCOM AVE, STE 212

SAN JOSE, CA 95124

Licensed Clinical Social Worker

CA License Number LCS11369

Other Languages

National Provider ID 1033254412

Accepting New Patients Yes. Referral may be required.

(408) 377-7099

Certification Number

ANTHONY MEDARO -PRIVATE PRACTICE-

SANTA CLARA MEDINA, NYDIA

8371 CHURCH ST,

GILROY, CA 95020

Psychologist

CA License Number PSY20267

Other Languages SPANISH

National Provider ID 1407912876

Accepting New Patients Yes. Referral may be required.

(408) 848-2999

Certification Number

NYDIA MEDINA -PRIVATE PRACTICE-

SANTA CLARA MEDLEY, TAMEKA

1939 THE ALAMEDA,

SAN JOSE, CA 95126

Licensed Clinical Social Worker

CA License Number 2246700

Other Languages

National Provider ID 1891829750

Accepting New Patients Yes. Referral may be required.

(800) 707-1326

Certification Number

TAMEKA MEDLEY -PRIVATE PRACTICE-

SANTA CLARA MENDLOWITZ, DEBRA

137 E HAMILTON AVE, STE 206

CAMPBELL, CA 95008

Psychologist

CA License Number PSY010154

Other Languages

National Provider ID 1396803326

Accepting New Patients Yes. Referral may be required.

(408) 254-2296

Certification Number

DEBRA MENDLOWITZ -PRIVATE PRACTICE-

SANTA CLARA MERRILL, POUPAK

1350 DELL AVE, STE 103

CAMPBELL, CA 95008

Psychologist

CA License Number PSY17674

Other Languages FARSI

National Provider ID 1750447520

Accepting New Patients Yes. Referral may be required.

(650) 465-0203

Certification Number

POUPAK MERRILL -PRIVATE PRACTICE-

Page 314 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA MICKELIS, ANGELA

100 W EL CAMINO REAL, STE 74B

MOUNTAIN VIEW, CA 94040

Marriage and Family Therapist

CA License Number 38758

Other Languages

National Provider ID 1538248174

Accepting New Patients Yes. Referral may be required.

(650) 238-4959

Certification Number

ANGELA MICKELIS PHD MFT

SANTA CLARA MILLER, BARBARA

901 CAMPISI WAY, STE 355

CAMPBELL, CA 95008

Licensed Clinical Social Worker

CA License Number LCSW18974

Other Languages

National Provider ID 1205180478

Accepting New Patients Yes. Referral may be required.

(408) 824-0014

Certification Number

BARBARA MILLER -PRIVATE PRACTICE-

SANTA CLARA MILLER, ROBERT

329 S SAN ANTONIO RD, STE 9

LOS ALTOS, CA 94022

Psychologist

CA License Number 9298

Other Languages

National Provider ID 1043238314

Accepting New Patients Yes. Referral may be required.

(650) 949-1189

Certification Number

CHRIS MILLER PHD

SANTA CLARA MOLLAH, MOHAMMED

851 FREMONT AVE, STE 100

LOS ALTOS, CA 94024

Psychiatrist

CA License Number A00043481

Other Languages URDU ARABIC FARSI

National Provider ID 1376624858

Accepting New Patients Yes. Referral may be required.

(650) 917-7925

Certification Number

MOHAMMED MOLLAH -PRIVATE PRACTICE-

SANTA CLARA MOPPINS, MELISSA

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Licensed Clinical Social Worker

CA License Number 24974

Other Languages

National Provider ID 1225196793

Accepting New Patients Yes. Referral may be required.

(409) 996-7950

Certification Number

MELISSA MOPPINS -PRIVATE PRACTICE-

SANTA CLARA MORSE, KEVIN

1570 THE ALAMEDA, STE 228

SAN JOSE, CA 95126

Psychiatrist

CA License Number G46678

Other Languages KOREAN

National Provider ID 1255478947

Accepting New Patients Yes. Referral may be required.

(408) 293-3888

Certification Number

KEVIN MORSE -PRIVATE PRACTICE-

Page 315 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA MYATT, MARY JANE

550 HAMILTON AVE, STE 309

PALO ALTO, CA 94301

Licensed Clinical Social Worker

CA License Number 8358

Other Languages

National Provider ID 1649308024

Accepting New Patients Yes. Referral may be required.

(650) 364-8095

Certification Number

MJ MYATT

SANTA CLARA NASSIRI, ARMIN

1922 THE ALAMEDA, STE 440

SAN JOSE, CA 95126

Psychiatrist

CA License Number A131960

Other Languages FARSI

National Provider ID 1841451143

Accepting New Patients Yes. Referral may be required.

(408) 400-0333

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATES SU

SANTA CLARA NEUWELT-TRUNTZER, SANDRA

4966 EL CAMINO REAL, STE 115

LOS ALTOS, CA 94022

Psychologist

CA License Number PSY7890

Other Languages

National Provider ID 1891742920

Accepting New Patients Yes. Referral may be required.

(650) 961-8773

Certification Number

SANDRA NEUWELT-TRUNTZER -PRIVATE PR

SANTA CLARA NGUYEN, TAO

1661 BURDETTE DR, STE B

SAN JOSE, CA 95121

Psychiatrist

CA License Number 45407

Other Languages VIETNAMESE

National Provider ID 1861587446

Accepting New Patients Yes. Referral may be required.

(408) 238-4542

Certification Number

TAO NGUYEN -PRIVATE PRACTICE-

SANTA CLARA NIELSEN, DEBORAH

59 N SANTA CRUZ AVE, STE L

LOS GATOS, CA 95030

Marriage and Family Therapist

CA License Number M14170

Other Languages

National Provider ID 1710192612

Accepting New Patients Yes. Referral may be required.

(408) 395-1144

Certification Number

DEBORAH NIELSEN -PRIVATE PRACTICE-

SANTA CLARA NISSEN, JAMES

3033 MOORPARK AVE, STE 8

SAN JOSE, CA 95128

Marriage and Family Therapist

CA License Number 19060

Other Languages

National Provider ID 1356468169

Accepting New Patients Yes. Referral may be required.

(408) 247-9658

Certification Number

JAMES C NISSEN

Page 316 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA NIV, NOGA

550 HAMILTON AVE, STE 207

PALO ALTO, CA 94301

Psychologist

CA License Number 15499

Other Languages HEBREW

National Provider ID 1730227067

Accepting New Patients Yes. Referral may be required.

(650) 494-1626

Certification Number

NOGA NIV -PRIVATE PRACTICE-

SANTA CLARA NORTON, CYNTHIA

1040 LINCOLN AVE

SAN JOSE, CA 95125

Marriage and Family Therapist

CA License Number MFC28627

Other Languages

National Provider ID 1154486892

Accepting New Patients Yes. Referral may be required.

(408) 293-4489

Certification Number

CYNTHIA NORTON LMFT

SANTA CLARA NORTON, CYNTHIA

1040 LINCOLN AVE,

SAN JOSE, CA 95125

Marriage and Family Therapist

CA License Number 28627

Other Languages

National Provider ID 1154486892

Accepting New Patients Yes. Referral may be required.

(408) 293-4489

Certification Number

CYNTHIA NORTON LMFT

SANTA CLARA OAKLEY, DANIEL

4675 STEVENS CREEK BLVD, STE 230

SANTA CLARA, CA 95051

Psychologist

CA License Number 23659

Other Languages

National Provider ID 1568742567

Accepting New Patients Yes. Referral may be required.

(408) 423-8076

Certification Number

DANIEL OAKLEY -PRIVATE PRACTICE-

SANTA CLARA ORMISTON, MARI

935 MIDDLEFIELD RD,

PALO ALTO, CA 94301

Psychiatrist

CA License Number A72426

Other Languages JAPANESE

National Provider ID 1780720623

Accepting New Patients Yes. Referral may be required.

(650) 380-0223

Certification Number

MARI ORMISTON -PRIVATE PRACTICE-

SANTA CLARA PASCA, DARIA

1922 THE ALAMEDA, SUITE 440

SAN JOSE, CA 95126

Psychiatrist

CA License Number A109438

Other Languages

National Provider ID 1427228337

Accepting New Patients Yes. Referral may be required.

(408) 400-0333

Certification Number

DARIA PASCA -PRIVATE PRACTICE-

Page 317 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA PERRY, MEHRA

1610 BLOSSOM HILL RD, STE 6

SAN JOSE, CA 95124

Marriage and Family Therapist

CA License Number MFC37498

Other Languages

National Provider ID 1932245420

Accepting New Patients Yes. Referral may be required.

(408) 596-0552

Certification Number

MEHRA PERRY -PRIVATE PRACTICE-

SANTA CLARA PETERSEN, KARENA

4020 MOORPARK AVE, STE 212

SAN JOSE, CA 95117

Marriage and Family Therapist

CA License Number MFC38953

Other Languages

National Provider ID 1003025586

Accepting New Patients Yes. Referral may be required.

(408) 772-0644

Certification Number

KARENA C PETERSEN

SANTA CLARA PEUSE, MARIA

900 LAFAYETTE ST, STE 605

SANTA CLARA, CA 95050

Licensed Clinical Social Worker

CA License Number 14483

Other Languages SPANISH

National Provider ID 1568406775

Accepting New Patients Yes. Referral may be required.

(650) 245-9206

Certification Number

MARIA PEUSE LCSW

SANTA CLARA PHAM, THIEN

1175 SARATOGA AVE., SUITE 14

SAN JOSE, CA 95129

Marriage and Family Therapist

CA License Number 85939

Other Languages VIETNAMESE

National Provider ID 1699061697

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

THIEN PHAM -PRIVATE PRACTICE-

SANTA CLARA PLEMONS, GRANT

653 E CAMPBELL AVE, STE 3

CAMPBELL, CA 95008

Psychologist

CA License Number PSY00008062

Other Languages

National Provider ID 1649343476

Accepting New Patients Yes. Referral may be required.

(408) 871-9006

Certification Number

GRANT PLEMONS -PRIVATE PRACTICE-

SANTA CLARA PLESHETTE, STEPHANNE

2542 S BASCOM AVE, STE 110

CAMPBELL, CA 95008

Licensed Clinical Social Worker

CA License Number LCS28883

Other Languages

National Provider ID 1528091576

Accepting New Patients Yes. Referral may be required.

(408) 505-1873

Certification Number

STEPHANNE PLESHETTE -PRIVATE PRACTI

Page 318 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA PLESHETTE, STEPHANNE

1298 KIFER RD, STE 515

SUNNYVALE, CA 94086

Licensed Clinical Social Worker

CA License Number LCS28883

Other Languages

National Provider ID 1528091576

Accepting New Patients Yes. Referral may be required.

(408) 505-1873

Certification Number

STEPHANNE PLESHETTE -PRIVATE PRACTI

SANTA CLARA POON, MARY

12280 SARATOGA SUNNYVALE

SARATOGA, CA 95070

Psychologist

CA License Number PSY27220

Other Languages

National Provider ID 1871971937

Accepting New Patients Yes. Referral may be required.

(415) 237-0377

Certification Number

MARY POON -PRIVATE PRACTICE-

SANTA CLARA POPOLIZIO, DEIDRE

1885 THE ALAMEDA, STE 131

SAN JOSE, CA 95126

Marriage and Family Therapist

CA License Number MFT43619

Other Languages

National Provider ID 1275887218

Accepting New Patients Yes. Referral may be required.

(408) 772-7455

Certification Number

DEIDRE POPOLIZIO MFT

SANTA CLARA PRESTON, DEBORAH

2450 SAMARITAN DR, STE 3

SAN JOSE, CA 95124

Psychologist

CA License Number PSY00006758

Other Languages

National Provider ID 1609949130

Accepting New Patients Yes. Referral may be required.

(408) 358-1554

Certification Number

DEBORAH PRESTON -PRIVATE PRACTICE-

SANTA CLARA PRIYANKA, PRIYANKA

1922 THE ALAMEDA, SUITE 440

SAN JOSE, CA 95126

Psychiatrist

CA License Number A119376

Other Languages

National Provider ID 1881866275

Accepting New Patients Yes. Referral may be required.

(408) 400-0333

Certification Number

PRIYANKA PRIYANKA -PRIVATE PRACTICE-

SANTA CLARA QUITERIO, NICOLE

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Psychiatrist

CA License Number 121383

Other Languages

National Provider ID 1437387495

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

NICOLE QUITERIO -PRIVATE PRACTICE-

Page 319 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA RAMIREZ, RANDALL

1400 PARKMOOR AVE, STE 115

SAN JOSE, CA 95126

Licensed Clinical Social Worker

CA License Number LMFT17052

Other Languages SPANISH TAGALOG

National Provider ID 1023120318

Accepting New Patients Yes. Referral may be required.

(408) 510-3480

Certification Number

RANDALL RAMIREZ -PRIVATE PRACTICE-

SANTA CLARA RAMIREZ, RANDALL

16275 MONTEREY RD, STE C

MORGAN HILL, CA 95037

Licensed Clinical Social Worker

CA License Number LMFT17052

Other Languages SPANISH TAGALOG

National Provider ID 1023120318

Accepting New Patients Yes. Referral may be required.

(408) 710-3866

Certification Number

DISCOVERY COUNSELING CENTER

SANTA CLARA RANA, SONAL

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Psychiatrist

CA License Number 110866

Other Languages

National Provider ID 1467680041

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

BAY AREA CHILDRENS ASSOCIATION

SANTA CLARA REED, CATHERINE

1922 THE ALAMEDA, STE 440

SAN JOSE, CA 95126

Psychiatrist

CA License Number 80530A

Other Languages

National Provider ID 1194802033

Accepting New Patients Yes. Referral may be required.

(408) 400-0333

Certification Number

CATHERINE REED -PRIVATE PRACTICE-

SANTA CLARA RIAHI KASHANI, SEDIGHEH

850 MIDDLEFIELD RD, STE 4

PALO ALTO, CA 94301

Marriage and Family Therapist

CA License Number 48455

Other Languages FARSI

National Provider ID 1699809657

Accepting New Patients Yes. Referral may be required.

(408) 691-6528

Certification Number

SEDIGHEH RIAHI KASHANI -PRIVATE PRACTI

SANTA CLARA ROUSAR III, EDWARD

160 SARATOGA AVE, STE 210

SANTA CLARA, CA 95051

Psychologist

CA License Number PSY12423

Other Languages

National Provider ID 1639191844

Accepting New Patients Yes. Referral may be required.

(650) 967-4995

Certification Number

EDWARD ROUSAR III -PRIVATE PRACTICE-

Page 320 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA RUDNICK, CRAIG

1570 THE ALAMEDA, STE 22

SAN JOSE, CA 95126

Psychiatrist

CA License Number A102459

Other Languages

National Provider ID 1184831661

Accepting New Patients Yes. Referral may be required.

(408) 295-8111

Certification Number

CRAIG RUDNICK -PRIVATE PRACTICE-

SANTA CLARA RUDNICK, CRAIG

1570 THE ALAMEDA, STE 226

SAN JOSE, CA 95126

Psychiatrist

CA License Number A102459

Other Languages

National Provider ID 1184831661

Accepting New Patients Yes. Referral may be required.

(925) 944-1733

Certification Number

COMPREHENSIVE PSYCHIATRIC SERV

SANTA CLARA RUMORE, FRANKLIN

2505 SAMARITAN DR, STE 603

SAN JOSE, CA 95124

Psychiatrist

CA License Number G018060

Other Languages

National Provider ID 1508939109

Accepting New Patients Yes. Referral may be required.

(408) 356-6755

Certification Number

FRANKLIN RUMORE -PRIVATE PRACTICE-

SANTA CLARA RUTHERFORD MONTGOMER, Y MAXINE

1885 THE ALAMEDA

SAN JOSE, CA 95126

Licensed Clinical Social Worker

CA License Number LCS7927

Other Languages

National Provider ID 1861472698

Accepting New Patients Yes. Referral may be required.

(408) 998-8554

Certification Number

Y MAXINE RUTHERFORD MONTGOMER -PRI

SANTA CLARA RUTHERFORD MONTGOMER, Y MAXINE

1972 THE ALAMEDA

SAN JOSE, CA 95126

Licensed Clinical Social Worker

CA License Number LCS7927

Other Languages

National Provider ID 1861472698

Accepting New Patients Yes. Referral may be required.

(408) 998-8554

Certification Number

Y MAXINE RUTHERFORD MONTGOMER -PRI

SANTA CLARA SACHS, LEWIS

12667 CORTE MADERA LN,

LOS ALTOS HILLS, CA 94022

Psychologist

CA License Number PSY3107

Other Languages

National Provider ID 1750497814

Accepting New Patients Yes. Referral may be required.

(650) 949-3950

Certification Number

LEWIS SACHS -PRIVATE PRACTICE-

Page 321 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA SALERNO, GREGORY

390 SPAR AVE, STE 205

SAN JOSE, CA 95117

Psychologist

CA License Number PSY00008594

Other Languages

National Provider ID 1144330564

Accepting New Patients Yes. Referral may be required.

(408) 243-4776

Certification Number

GREGORY SALERNO -PRIVATE PRACTICE-

SANTA CLARA SALMO, SAMER

1530 THE ALAMEDA, STE 315

SAN JOSE, CA 95126

Psychiatrist

CA License Number A118488

Other Languages

National Provider ID 1326277567

Accepting New Patients Yes. Referral may be required.

(408) 295-8111

Certification Number

SAMER SALMO -PRIVATE PRACTICE-

SANTA CLARA SALVADORE, DIANE

800 POLLARD RD, STE B 207

LOS GATOS, CA 95032

Marriage and Family Therapist

CA License Number MFC00030757

Other Languages

National Provider ID 1831129154

Accepting New Patients Yes. Referral may be required.

(408) 364-0766

Certification Number

DIANE SALVADORE -PRIVATE PRACTICE-

SANTA CLARA SANCHEZ, SHELLIE

378 CAMBRIDGE AVE, STE D

PALO ALTO, CA 94306

Marriage and Family Therapist

CA License Number MFC27488

Other Languages

National Provider ID 1033413331

Accepting New Patients Yes. Referral may be required.

(650) 424-1860

Certification Number

SHELLIE SANCHEZ -PRIVATE PRACTICE-

SANTA CLARA SELBY, ROSEMARY

117 S CALIFORNIA AVE, STE D201

PALO ALTO, CA 94306

Psychologist

CA License Number PSY9340

Other Languages

National Provider ID 1932129335

Accepting New Patients Yes. Referral may be required.

(650) 323-3532

Certification Number

ROSEMARY SELBY -PRIVATE PRACTICE-

SANTA CLARA SITZER, DAVID

375 CAMBRIDGE AVE,

PALO ALTO, CA 94306

Psychologist

CA License Number PSY00013538

Other Languages

National Provider ID 1619091253

Accepting New Patients Yes. Referral may be required.

(650) 326-6576

Certification Number

FAMILY & CHILDREN SERVICES

Page 322 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA SKERBEC, LINDA

230 S CALIFORNIA AVE, STE 107

PALO ALTO, CA 94306

Marriage and Family Therapist

CA License Number MFT21974

Other Languages

National Provider ID 1821213034

Accepting New Patients Yes. Referral may be required.

(650) 266-8275

Certification Number

LINDA L SKERBEC

SANTA CLARA SMITH, SUSAN

1922 THE ALAMEDA, STE 440

SAN JOSE, CA 95126

Psychiatrist

CA License Number 73621

Other Languages

National Provider ID 1194843607

Accepting New Patients Yes. Referral may be required.

(408) 400-0333

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATES SU

SANTA CLARA SMOLOWE, JOHN

305 N CALIFORNIA AVE, STE 202B

PALO ALTO, CA 94301

Psychiatrist

CA License Number G026886

Other Languages

National Provider ID 1679643472

Accepting New Patients Yes. Referral may be required.

(650) 328-4788

Certification Number

JOHN SMOLOWE -PRIVATE PRACTICE-

SANTA CLARA SPARK, BARBARA

20380 TOWN CENTER LN, STE 107

CUPERTINO, CA 95014

Marriage and Family Therapist

CA License Number MFC24237

Other Languages

National Provider ID 1245301712

Accepting New Patients Yes. Referral may be required.

(408) 257-0823

Certification Number

BARBARA SPARK RN MFT

SANTA CLARA SPECTERMAN, RANDY

220 S CALIFORNIA AVE, STE 204

PALO ALTO, CA 94306

Psychologist

CA License Number 23745

Other Languages

National Provider ID 1699746057

Accepting New Patients Yes. Referral may be required.

(607) 761-2285

Certification Number

RANDY SPECTERMAN -PRIVATE PRACTICE-

SANTA CLARA SRA, BREENU

51 E CAMPBELL AVE, STE 110B

CAMPBELL, CA 95008

Marriage and Family Therapist

CA License Number 53160

Other Languages HINDI PANJABI URDU

National Provider ID 1861814832

Accepting New Patients Yes. Referral may be required.

(408) 568-6455

Certification Number

BREENU SRA -PRIVATE PRACTICE-

Page 323 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA STEINBERG, ANYA

2680 BAYSHORE PKWY, STE 214

MOUNTAIN VIEW, CA 94043

Psychiatrist

CA License Number 60463

Other Languages

National Provider ID 1942320882

Accepting New Patients Yes. Referral may be required.

(650) 254-2040

Certification Number

ANYA E STEINBERG MD

SANTA CLARA STONE, SHIRA

451 LOS GATOS BLVD, STE 102

LOS GATOS, CA 95032

Marriage and Family Therapist

CA License Number 29931

Other Languages

National Provider ID 1790710465

Accepting New Patients Yes. Referral may be required.

(831) 207-6088

Certification Number

SHIRA STONE -PRIVATE PRACTICE-

SANTA CLARA STRASSBERG, ADAM

415 CAMBRIDGE AVE, STE 7

PALO ALTO, CA 94306

Psychiatrist

CA License Number A72606

Other Languages

National Provider ID 1558443424

Accepting New Patients Yes. Referral may be required.

(650) 427-0779

Certification Number

ADAM STRASSBERG -PRIVATE PRACTICE-

SANTA CLARA STUBBLES, JOAN

1173 ARAPAHO DR,

GILROY, CA 95020

Marriage and Family Therapist

CA License Number 21911

Other Languages

National Provider ID 1295845006

Accepting New Patients Yes. Referral may be required.

(408) 848-6714

Certification Number

JOAN STUBBLES -PRIVATE PRACTICE-

SANTA CLARA TAKEMOTO, MICHELLE

15495 LOS GATOS BLVD, STE 5

LOS GATOS, CA 95032

Marriage and Family Therapist

CA License Number MFC48071

Other Languages

National Provider ID 1568587442

Accepting New Patients Yes. Referral may be required.

(408) 673-1882

Certification Number

MICHELLE TAKEMOTO -PRIVATE PRACTICE-

SANTA CLARA TARSHIS, THOMAS

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Psychiatrist

CA License Number A81257

Other Languages MANDARIN SPANISH FRENCH

National Provider ID 1043304017

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

BAY AREA CHILDRENS ASSOCIATION

Page 324 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA THAI, VINH

550 HAMILTON AVE, STE 303

PALO ALTO, CA 94301

Psychiatrist

CA License Number G74820

Other Languages VIETNAMESE CAMBODIAN AFRICAN

National Provider ID 1205859758

Accepting New Patients Yes. Referral may be required.

(650) 326-5754

Certification Number

VINH Q THAI MD

SANTA CLARA THAKKAR, SMITA

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Psychiatrist

CA License Number A105768

Other Languages HINDI MANDARIN FRENCH

National Provider ID 1730353111

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

BAY AREA CHILDRENS ASSOCIATION

SANTA CLARA THAKKAR, SMITA

1530 THE ALAMEDA, STE 315

SAN JOSE, CA 95126

Psychiatrist

CA License Number A105768

Other Languages HINDI MANDARIN FRENCH

National Provider ID 1730353111

Accepting New Patients Yes. Referral may be required.

(408) 295-8111

Certification Number

SMITA THAKKAR -PRIVATE PRACTICE-

SANTA CLARA TREVINO, ESTHER

2160 THE ALAMEDA,

SAN JOSE, CA 95126

Marriage and Family Therapist

CA License Number MFC18107

Other Languages SPANISH

National Provider ID 1528051489

Accepting New Patients Yes. Referral may be required.

(408) 896-4585

Certification Number

ESTHER TREVINO -PRIVATE PRACTICE-

SANTA CLARA TRUONG, HOAI-THU

415 CAMBRIDGE AVE, STE 3

PALO ALTO, CA 94306

Psychologist

CA License Number PSY19960

Other Languages FRENCH

National Provider ID 1073560587

Accepting New Patients Yes. Referral may be required.

(650) 327-3003

Certification Number

HOAI-THU TRUONG -PRIVATE PRACTICE-

SANTA CLARA TRUSSO, MARY JO

1040 LINCOLN AVE,

SAN JOSE, CA 95125

Marriage and Family Therapist

CA License Number MFT28152

Other Languages

National Provider ID 1215081161

Accepting New Patients Yes. Referral may be required.

(408) 293-4489

Certification Number

MARY JO TRUSSO -PRIVATE PRACTICE-

Page 325 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA TUCKER, JULIE

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Marriage and Family Therapist

CA License Number MFC84710

Other Languages

National Provider ID 1033389531

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

JULIE TUCKER -PRIVATE PRACTICE-

SANTA CLARA VERNACCHIA, MARIANNE

4990 SPEAK LN, STE 100

SAN JOSE, CA 95118

Marriage and Family Therapist

CA License Number MFT35980

Other Languages

National Provider ID 1821116245

Accepting New Patients Yes. Referral may be required.

(408) 266-7826

Certification Number

MARIANNE VERNACCHIA -PRIVATE PRACTIC

SANTA CLARA VERNACCHIA, MARIANNE

4990 SPEAK LN, STE 100

SAN JOSE, CA 95118

Marriage and Family Therapist

CA License Number MFC35980

Other Languages

National Provider ID 1821116245

Accepting New Patients Yes. Referral may be required.

(408) 266-7826

Certification Number

MARIANNE VERNACCHIA -PRIVATE PRACTIC

SANTA CLARA WERMUTH, BRUCE

2542 S BASCOM AVE, STE 110

CAMPBELL, CA 95008

Psychiatrist

CA License Number G25581

Other Languages RUSSIAN SPANISH

National Provider ID 1629104617

Accepting New Patients Yes. Referral may be required.

(408) 559-3403

Certification Number

BRUCE WERMUTH -PRIVATE PRACTICE-

SANTA CLARA WERNE, JOELLEN

305 N CALIFORNIA AVE, 2A

PALO ALTO, CA 94301

Psychiatrist

CA License Number G23738

Other Languages

National Provider ID 1194800524

Accepting New Patients Yes. Referral may be required.

(650) 327-7468

Certification Number

JOELLEN WERNE -PRIVATE PRACTICE-

SANTA CLARA WILLIAMS, CAROL

11711 PUTTER WAY,

LOS ALTOS, CA 94024

Psychologist

CA License Number PSY14211

Other Languages

National Provider ID 1609806553

Accepting New Patients Yes. Referral may be required.

(650) 964-3230

Certification Number

CAROL WILLIAMS -PRIVATE PRACTICE-

Page 326 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CLARA WOLFF, MAY

15951 LOS GATOS BLVD, STE 18

LOS GATOS, CA 95032

Licensed Clinical Social Worker

CA License Number LCS5687

Other Languages

National Provider ID 1043394869

Accepting New Patients Yes. Referral may be required.

(408) 356-9269

Certification Number

MAY CORCA WOLFF LCSW

SANTA CLARA XU, YANG

1530 THE ALAMEDA, STE 315

SAN JOSE, CA 95126

Psychiatrist

CA License Number A130870

Other Languages

National Provider ID 1093006983

Accepting New Patients Yes. Referral may be required.

(408) 295-8111

Certification Number

YANG XU -PRIVATE PRACTICE-

SANTA CLARA YANG, DAN

1175 SARATOGA AVE, STE 14

SAN JOSE, CA 95129

Psychiatrist

CA License Number A105107

Other Languages MANDARIN

National Provider ID 1114186319

Accepting New Patients Yes. Referral may be required.

(408) 996-7950

Certification Number

BAY AREA CHILDRENS ASSOCIATION

SANTA CLARA ZAHORSKY, RENA

4990 SPEAK LN, STE 100

SAN JOSE, CA 95118

Marriage and Family Therapist

CA License Number MFC17664

Other Languages

National Provider ID 1386796498

Accepting New Patients Yes. Referral may be required.

(408) 266-7826

Certification Number

RENA ZAHORSKY -PRIVATE PRACTICE-

SANTA CRUZ AQUINO, ELANI

200 WASHINGTON ST, STE 105

SANTA CRUZ, CA 95060

Licensed Clinical Social Worker

CA License Number LCS20450

Other Languages SPANISH

National Provider ID 1407900897

Accepting New Patients Yes. Referral may be required.

(831) 427-5505

Certification Number

ELANI AQUINO -PRIVATE PRACTICE-

SANTA CRUZ AQUINO, ELANI

5905 SOQUEL DR, STE 400

SOQUEL, CA 95073

Licensed Clinical Social Worker

CA License Number LCS20450

Other Languages SPANISH

National Provider ID 1407900897

Accepting New Patients Yes. Referral may be required.

(831) 427-5505

Certification Number

ELANI AQUINO -PRIVATE PRACTICE-

Page 327 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CRUZ BENNETT, ELIZABETH

30 ORCHARD HEIGHTS LN,

CORRALITOS, CA 95076

Marriage and Family Therapist

CA License Number MFC00006206

Other Languages

National Provider ID 1689891533

Accepting New Patients Yes. Referral may be required.

(831) 429-7989

Certification Number

ELIZABETH BENNETT -PRIVATE PRACTICE-

SANTA CRUZ BENNETT, ELIZABETH

820 BAY AVE, STE 208C

CAPITOLA, CA 95010

Marriage and Family Therapist

CA License Number MFC00006206

Other Languages

National Provider ID 1689891533

Accepting New Patients Yes. Referral may be required.

(831) 429-7989

Certification Number

ELIZABETH BENNETT -PRIVATE PRACTICE-

SANTA CRUZ BERMAN, CAROL

11 ALEXANDER ST

WATSONVILLE, CA 95076

Licensed Clinical Social Worker

CA License Number LCS10665

Other Languages

National Provider ID 1770629719

Accepting New Patients Yes. Referral may be required.

(831) 728-9970

Certification Number

CAROL BERMAN -PRIVATE PRACTICE-

SANTA CRUZ BERMAN, CAROL

3121 PARK AVE, STE I

SOQUEL, CA 95073

Licensed Clinical Social Worker

CA License Number LCS10665

Other Languages

National Provider ID 1770629719

Accepting New Patients Yes. Referral may be required.

(831) 462-5282

Certification Number

CAROL F BERMAN LCSW

SANTA CRUZ BERMAN, CAROL

104 WALNUT AVE

SANTA CRUZ, CA 95060

Licensed Clinical Social Worker

CA License Number LCS10665

Other Languages

National Provider ID 1770629719

Accepting New Patients Yes. Referral may be required.

(831) 423-9444

Certification Number

CAROL BERMAN -PRIVATE PRACTICE-

SANTA CRUZ BLAKE, DORENE

820 BAY AVE, STE 248

CAPITOLA, CA 95010

Marriage and Family Therapist

CA License Number MFC27688

Other Languages

National Provider ID 1225191745

Accepting New Patients Yes. Referral may be required.

(831) 475-1615

Certification Number

DORENE G BLAKE MA MFT

Page 328 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CRUZ BLOOMBECKER, LINDA

904 DANIEL CT,

SANTA CRUZ, CA 95062

Marriage and Family Therapist

CA License Number M14494

Other Languages

National Provider ID 1497893192

Accepting New Patients Yes. Referral may be required.

(831) 475-6013

Certification Number

LINDA BLOOMBECKER -PRIVATE PRACTICE-

SANTA CRUZ BRUNING, ROSALIE

180 7TH AVE, STE 107

SANTA CRUZ, CA 95062

Marriage and Family Therapist

CA License Number 83311

Other Languages

National Provider ID 1285918771

Accepting New Patients Yes. Referral may be required.

(831) 854-7766

Certification Number

ROSALIE BRUNING -PRIVATE PRACTICE-

SANTA CRUZ DALEY, ALEXIS

180 7TH AVE, STE 105

SANTA CRUZ, CA 95062

Marriage and Family Therapist

CA License Number MFC6957

Other Languages

National Provider ID 1285787614

Accepting New Patients Yes. Referral may be required.

(831) 426-1349

Certification Number

ALEXIS DALEY

SANTA CRUZ DARROW, LUSIJAH

2715 PORTER ST

SOQUEL, CA 95073

Marriage and Family Therapist

CA License Number MFT92106

Other Languages

National Provider ID 1134578156

Accepting New Patients Yes. Referral may be required.

(650) 380-4821

Certification Number

LUSIJAH DARROW -PRIVATE PRACTICE-

SANTA CRUZ DONATO, JOAN

13200 HIGHWAY 9,

BOULDER CREEK, CA 95006

Licensed Clinical Social Worker

CA License Number 15161

Other Languages

National Provider ID 1669482444

Accepting New Patients Yes. Referral may be required.

(831) 331-6450

Certification Number

JOAN DONATO -PRIVATE PRACTICE-

SANTA CRUZ DOONAN, JOHN

1395 41ST AVE,

CAPITOLA, CA 95010

Marriage and Family Therapist

CA License Number 20000

Other Languages

National Provider ID 1952541799

Accepting New Patients Yes. Referral may be required.

(408) 314-2618

Certification Number

JOHN DOONAN -PRIVATE PRACTICE-

Page 329 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CRUZ DOONAN, JOHN

1395 41ST AVE, STE E

CAPITOLA, CA 95010

Marriage and Family Therapist

CA License Number 20000

Other Languages

National Provider ID 1952541799

Accepting New Patients Yes. Referral may be required.

(408) 314-2618

Certification Number

JOHN DOONAN -PRIVATE PRACTICE-

SANTA CRUZ GILBERT, ALLISON

5905 SOQUEL DR, STE 350

SOQUEL, CA 95073

Marriage and Family Therapist

CA License Number MFT24087

Other Languages

National Provider ID 1770702193

Accepting New Patients Yes. Referral may be required.

(831) 425-4475

Certification Number

ALLISON GILBERT -PRIVATE PRACTICE-

SANTA CRUZ GOODMAN, JAY

54 PENNY LN, STE B

WATSONVILLE, CA 95076

Psychologist

CA License Number PSY11430

Other Languages

National Provider ID 1134237779

Accepting New Patients Yes. Referral may be required.

(831) 728-3189

Certification Number

JAY GOODMAN -PRIVATE PRACTICE-

SANTA CRUZ HATTIS, JANAKI

10096 SOQUEL DR, STE 1

APTOS, CA 95003

Marriage and Family Therapist

CA License Number MFC23581

Other Languages

National Provider ID 1861544181

Accepting New Patients Yes. Referral may be required.

(831) 662-9824

Certification Number

JANAKI HATTIS -PRIVATE PRACTICE-

SANTA CRUZ HEENAN, PHYLLIS

6233 SOQUEL DR, STE C

APTOS, CA 95003

Licensed Clinical Social Worker

CA License Number LCSW9057

Other Languages

National Provider ID 1225167398

Accepting New Patients Yes. Referral may be required.

(831) 661-5197

Certification Number

PHYLLIS HEENAN -PRIVATE PRACTICE-

SANTA CRUZ HEENAN, PHYLLIS

47 KNOLLWOOD DR,

APTOS, CA 95003

Licensed Clinical Social Worker

CA License Number LCSW9057

Other Languages

National Provider ID 1225167398

Accepting New Patients Yes. Referral may be required.

(831) 661-5197

Certification Number

PHYLLIS HEENAN -PRIVATE PRACTICE-

Page 330 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CRUZ HURST, HOLLYE

5905 SOQUEL DR, STE 400

SOQUEL, CA 95073

Marriage and Family Therapist

CA License Number 27256

Other Languages

National Provider ID 1780628800

Accepting New Patients Yes. Referral may be required.

(831) 824-7900

Certification Number

HOLLYE HURST -PRIVATE PRACTICE-

SANTA CRUZ JENSEN, LISA

303 POTRERO ST, STE 56

SANTA CRUZ, CA 95060

Marriage and Family Therapist

CA License Number MFT25593

Other Languages

National Provider ID 1265556807

Accepting New Patients Yes. Referral may be required.

(831) 427-0575

Certification Number

LISA JENSEN -PRIVATE PRACTICE-

SANTA CRUZ JENSEN, LISA

1663 DOMINICAN WAY,

SANTA CRUZ, CA 95065

Marriage and Family Therapist

CA License Number MFT25593

Other Languages

National Provider ID 1265556807

Accepting New Patients Yes. Referral may be required.

(831) 427-0575

Certification Number

LISA JENSEN -PRIVATE PRACTICE-

SANTA CRUZ JODER, BETTY

4630 SOQUEL DR, STE 8A

SOQUEL, CA 95073

Marriage and Family Therapist

CA License Number LMFT37537

Other Languages

National Provider ID 1336173384

Accepting New Patients Yes. Referral may be required.

(831) 475-1797

Certification Number

BETTY J JODER LMFT

SANTA CRUZ JONES, LAUREN

520 MISSION ST,

SANTA CRUZ, CA 95060

Marriage and Family Therapist

CA License Number 42552

Other Languages

National Provider ID 1588831218

Accepting New Patients Yes. Referral may be required.

(831) 759-1700

Certification Number

LAUREN JONES -PRIVATE PRACTICE-

SANTA CRUZ KASTEEN, KARA

501 MISSION ST, STE 104

SANTA CRUZ, CA 95060

Licensed Clinical Social Worker

CA License Number 25282

Other Languages

National Provider ID 1346473295

Accepting New Patients Yes. Referral may be required.

(408) 673-8646

Certification Number

KARA KASTEEN -PRIVATE PRACTICE-

Page 331 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CRUZ KUHN, KIMBERLY

333 CHURCH ST, STE B

SANTA CRUZ, CA 95060

Licensed Clinical Social Worker

CA License Number 27146

Other Languages

National Provider ID 1124176300

Accepting New Patients Yes. Referral may be required.

(831) 278-2496

Certification Number

KIMBERLY KUHN LCSW

SANTA CRUZ LECLAIR, RAYMOND

104 S PARK WAY, STE B

SANTA CRUZ, CA 95062

Marriage and Family Therapist

CA License Number 4717

Other Languages

National Provider ID 1295841906

Accepting New Patients Yes. Referral may be required.

(831) 427-2919

Certification Number

RAYMOND LECLAIR -PRIVATE PRACTICE-

SANTA CRUZ MARKLE, DONALD

2222 E CLIFF DR, STE 208

SANTA CRUZ, CA 95062

Marriage and Family Therapist

CA License Number MFC00008611

Other Languages

National Provider ID 1063598340

Accepting New Patients Yes. Referral may be required.

(831) 476-6686

Certification Number

DONALD MARKLE -PRIVATE PRACTICE-

SANTA CRUZ MERRING, JESSICA

4113 SCOTTS VALLEY DR, # 104

SCOTTS VALLEY, CA 95060

Marriage and Family Therapist

CA License Number 29652

Other Languages

National Provider ID 1326153735

Accepting New Patients Yes. Referral may be required.

(831) 252-0008

Certification Number

JESSICA MERRING -PRIVATE PRACTICE-

SANTA CRUZ MESTEMACHER, ALICE

256 GREEN MEADOW DR, APT A

WATSONVILLE, CA 95076

Marriage and Family Therapist

CA License Number 18468

Other Languages

National Provider ID 1619078284

Accepting New Patients Yes. Referral may be required.

(831) 761-0668

Certification Number

ALICE MESTEMACHER -PRIVATE PRACTICE-

SANTA CRUZ MICHAELSEN, HILA

340 SOQUEL AVE, STE 221

SANTA CRUZ, CA 95062

Licensed Clinical Social Worker

CA License Number 02113

Other Languages

National Provider ID 1326055823

Accepting New Patients Yes. Referral may be required.

(831) 426-4426

Certification Number

HILA F MICHAELSEN LCSW

Page 332 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CRUZ NIELSEN, DEBORAH

230 SPRECKELS DR,

APTOS, CA 95003

Marriage and Family Therapist

CA License Number M14170

Other Languages

National Provider ID 1710192612

Accepting New Patients Yes. Referral may be required.

(831) 688-5490

Certification Number

DEBORAH NIELSEN -PRIVATE PRACTICE-

SANTA CRUZ PARKER, SHARON

542 OCEAN ST, STE D

SANTA CRUZ, CA 95060

Marriage and Family Therapist

CA License Number MFC29198

Other Languages AMERICAN SIGN LANGUAGE

National Provider ID 1720095425

Accepting New Patients Yes. Referral may be required.

(831) 469-9151

Certification Number

SHARON PARKER -PRIVATE PRACTICE-

SANTA CRUZ PLEMONS, GRANT

1015 CENTER ST,

SANTA CRUZ, CA 95060

Psychologist

CA License Number PSY00008062

Other Languages

National Provider ID 1649343476

Accepting New Patients Yes. Referral may be required.

(408) 871-9006

Certification Number

GRANT PLEMONS -PRIVATE PRACTICE-

SANTA CRUZ RADOV, ANEITA

3121 PARK AVE, STE I

SOQUEL, CA 95073

Marriage and Family Therapist

CA License Number MFC19712

Other Languages

National Provider ID 1235163411

Accepting New Patients Yes. Referral may be required.

(831) 476-1552

Certification Number

ANEITA RADOV -PRIVATE PRACTICE-

SANTA CRUZ RAPOSA, DONNA

256 CENTER AVE,

APTOS, CA 95003

Marriage and Family Therapist

CA License Number 28672

Other Languages

National Provider ID 1508083684

Accepting New Patients Yes. Referral may be required.

(831) 685-3310

Certification Number

DONNA RAPOSA -PRIVATE PRACTICE-

SANTA CRUZ SCOTT, SUSAN

303 POTRERO ST, STE 29 107

SANTA CRUZ, CA 95060

Marriage and Family Therapist

CA License Number MFC14118

Other Languages

National Provider ID 1194739748

Accepting New Patients Yes. Referral may be required.

(831) 423-2445

Certification Number

SUSAN SCOTT -PRIVATE PRACTICE-

Page 333 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CRUZ STONE, SHIRA

310 LOCUST ST, STE E

SANTA CRUZ, CA 95060

Marriage and Family Therapist

CA License Number 29931

Other Languages

National Provider ID 1790710465

Accepting New Patients Yes. Referral may be required.

(831) 621-0850

Certification Number

SHIRA STONE -PRIVATE PRACTICE-

SANTA CRUZ SYREN-VITULLO, DEBORAH

5905 SOQUEL DR, STE 600

SOQUEL, CA 95073

Psychologist

CA License Number PSY14934

Other Languages

National Provider ID 1447459219

Accepting New Patients Yes. Referral may be required.

(831) 332-3555

Certification Number

DEBORAH SYREN-VITULLO -PRIVATE PRAC

SANTA CRUZ TATUM, ELISABETH

9520 SOQUEL DR, STE C

APTOS, CA 95003

Marriage and Family Therapist

CA License Number MFC16661

Other Languages SPANISH GERMAN

National Provider ID 1932219789

Accepting New Patients Yes. Referral may be required.

(831) 688-8789

Certification Number

ELISABETH TATUM -PRIVATE PRACTICE-

SANTA CRUZ TUREY, HEATHER

4245 CAPITOLA RD, STE 205

CAPITOLA, CA 95010

Marriage and Family Therapist

CA License Number 20416

Other Languages

National Provider ID 1346231321

Accepting New Patients Yes. Referral may be required.

(831) 462-5559

Certification Number

HEATHER TUREY -PRIVATE PRACTICE-

SANTA CRUZ TYMN, MARIANN

501 MISSION ST, STE 100

SANTA CRUZ, CA 95060

Marriage and Family Therapist

CA License Number MFC43375

Other Languages

National Provider ID 1679737134

Accepting New Patients Yes. Referral may be required.

(831) 535-3759

Certification Number

MARIANN TYMN -PRIVATE PRACTICE-

SANTA CRUZ TYSON, MICHAEL

4245 CAPITOLA RD, STE 205

CAPITOLA, CA 95010

Marriage and Family Therapist

CA License Number MFC22682

Other Languages

National Provider ID 1417975400

Accepting New Patients Yes. Referral may be required.

(831) 475-6711

Certification Number

MICHAEL TYSON -PRIVATE PRACTICE-

Page 334 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SANTA CRUZ ZIMMERMAN, DAVID

5905 SOQUEL DR, STE 300

SOQUEL, CA 95073

Marriage and Family Therapist

CA License Number MFC22009

Other Languages

National Provider ID 1730302621

Accepting New Patients Yes. Referral may be required.

(831) 476-3560

Certification Number

DAVID ZIMMERMAN

SOLANO ALLEN, DIAN

526 TENNESSEE ST,

VALLEJO, CA 94590

Marriage and Family Therapist

CA License Number 32508

Other Languages

National Provider ID 1174680805

Accepting New Patients Yes. Referral may be required.

(707) 331-8551

Certification Number

DIAN ALLEN -PRIVATE PRACTICE-

SOLANO ALTMAN, MICAH

801 E 2ND ST, STE 101

BENICIA, CA 94510

Psychologist

CA License Number PSY10816

Other Languages

National Provider ID 1366452161

Accepting New Patients Yes. Referral may be required.

(707) 747-9178

Certification Number

MICAH ALTMAN -PRIVATE PRACTICE-

SOLANO AQEEL, NOORULAIN

5030 BUSINESS CENTER DR, STE 220

FAIRFIELD, CA 94534

Psychiatrist

CA License Number 77375

Other Languages HINDI

National Provider ID 1811949944

Accepting New Patients Yes. Referral may be required.

(707) 864-6860

Certification Number

NOORULAIN AQEEL -PRIVATE PRACTICE-

SOLANO AULUCK, HARINDER

1440 MILITARY W, STE 201B

BENICIA, CA 94510

Psychiatrist

CA License Number A42771

Other Languages HINDI SPANISH

National Provider ID 1538111661

Accepting New Patients Yes. Referral may be required.

(707) 556-7074

Certification Number

HARINDER AULUCK -PRIVATE PRACTICE-

SOLANO AULUCK, HARINDER

532 OREGON ST,

VALLEJO, CA 94590

Psychiatrist

CA License Number A42771

Other Languages HINDI SPANISH

National Provider ID 1538111661

Accepting New Patients Yes. Referral may be required.

(707) 556-7074

Certification Number

HARINDER AULUCK -PRIVATE PRACTICE-

Page 335 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO AUZA, MICHAEL

5030 BUSINESS CENTER DR, STE 310

FAIRFIELD, CA 94534

Psychiatrist

CA License Number A114483

Other Languages

National Provider ID 1649560673

Accepting New Patients Yes. Referral may be required.

(707) 864-6860

Certification Number

MICHAEL AUZA -PRIVATE PRACTICE-

SOLANO BALDINO, VINCENZA

236 GEORGIA ST, SUITE 200B

VALLEJO, CA 94590

Marriage and Family Therapist

CA License Number MFC24797

Other Languages

National Provider ID 1801007489

Accepting New Patients Yes. Referral may be required.

(510) 368-4147

Certification Number

VINCENZA BALDINO -PRIVATE PRACTICE-

SOLANO BALDINO, VINCENZA

236 GEORGIA ST, SUITE 200B

VALLEJO, CA 94590

Marriage and Family Therapist

CA License Number MFT24797

Other Languages

National Provider ID 1801007489

Accepting New Patients Yes. Referral may be required.

(510) 368-4147

Certification Number

VINCENZA BALDINO -PRIVATE PRACTICE-

SOLANO BANSAL, RAGHUNATH

5030 BUSINESS CENTER DR, STE 310

FAIRFIELD, CA 94534

Psychiatrist

CA License Number A86883

Other Languages HINDI FARSI PANJABI

National Provider ID 1255445086

Accepting New Patients Yes. Referral may be required.

(707) 864-6860

Certification Number

RAGHUNATH BANSAL -PRIVATE PRACTICE-

SOLANO BARON, ROGER

631 TENNESSEE ST,

VALLEJO, CA 94590

Marriage and Family Therapist

CA License Number 6593

Other Languages

National Provider ID 1255483301

Accepting New Patients Yes. Referral may be required.

(707) 643-0258

Certification Number

ROGER BARON -PRIVATE PRACTICE-

SOLANO BENDER, SHARON

609 JEFFERSON ST, STE E

FAIRFIELD, CA 94533

Licensed Clinical Social Worker

CA License Number LCS12578

Other Languages

National Provider ID 1407908221

Accepting New Patients Yes. Referral may be required.

(707) 208-5759

Certification Number

SHARON A BENDER LCSW

Page 336 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO BENINGTON, SARAH

1241 ALAMO DR, STE 6

VACAVILLE, CA 95687

Psychiatrist

CA License Number 20A11345

Other Languages

National Provider ID 1679680748

Accepting New Patients Yes. Referral may be required.

(707) 741-3037

Certification Number

COMMUNITY PSYCHIATRIC ASSOCIATES DA

SOLANO BOHNER, MARK

511 MORGAN ST,

SUISUN CITY, CA 94585

Psychologist

CA License Number 13647

Other Languages

National Provider ID 1891983136

Accepting New Patients Yes. Referral may be required.

(707) 416-5947

Certification Number

MARK BOHNER -PRIVATE PRACTICE-

SOLANO BONDONNO, LAURA

1201 GLEN COVE PKWY, APT 203

VALLEJO, CA 94591

Marriage and Family Therapist

CA License Number 48212

Other Languages

National Provider ID 1326341942

Accepting New Patients Yes. Referral may be required.

(707) 647-7007

Certification Number

LAURA BONDONNO -PRIVATE PRACTICE-

SOLANO BRADLEE, PETER

301 ALAMO DR, STE C

VACAVILLE, CA 95688

Psychologist

CA License Number 14507

Other Languages

National Provider ID 1477589786

Accepting New Patients Yes. Referral may be required.

(707) 455-8541

Certification Number

PETER BRADLEE -PRIVATE PRACTICE-

SOLANO CLARKSON, ANN

281 E H ST,

BENICIA, CA 94510

Marriage and Family Therapist

CA License Number MFC38330

Other Languages

National Provider ID 1457370983

Accepting New Patients Yes. Referral may be required.

(707) 746-7408

Certification Number

ANN CLARKSON MFT

SOLANO COHEN, NATHAN

5030 BUSINESS CENTER DR, STE 220

FAIRFIELD, CA 94534

Psychiatrist

CA License Number 20141

Other Languages

National Provider ID 1366526436

Accepting New Patients Yes. Referral may be required.

(707) 864-6860

Certification Number

NATHAN COHEN -PRIVATE PRACTICE-

Page 337 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO CROWE, KATHERINE

701 SOUTHAMPTON RD, STE 208

BENICIA, CA 94510

Marriage and Family Therapist

CA License Number MFC27756

Other Languages

National Provider ID 1235233974

Accepting New Patients Yes. Referral may be required.

(707) 745-9547

Certification Number

KATHERINE CROWE -PRIVATE PRACTICE-

SOLANO DAVIDSON, NATALIE

744 EMPIRE ST,

FAIRFIELD, CA 94533

Marriage and Family Therapist

CA License Number 20880

Other Languages

National Provider ID 1275790347

Accepting New Patients Yes. Referral may be required.

(415) 226-1177

Certification Number

NATALIE DAVIDSON -PRIVATE PRACTICE-

SOLANO DUNN, KATHIE

701 SOUTHAMPTON RD, STE 202

BENICIA, CA 94510

Marriage and Family Therapist

CA License Number MFC41025

Other Languages

National Provider ID 1295916518

Accepting New Patients Yes. Referral may be required.

(707) 227-2627

Certification Number

KATHIE FUNN LMFT

SOLANO EVANS, MEGAN

595 BUCK AVE, STE G

VACAVILLE, CA 95688

Marriage and Family Therapist

CA License Number MFC23917

Other Languages

National Provider ID 1659539815

Accepting New Patients Yes. Referral may be required.

(530) 219-9991

Certification Number

MEGAN EVANS -PRIVATE PRACTICE-

SOLANO FENYOE, MEGAN

744 EMPIRE ST, STE 230

FAIRFIELD, CA 94533

Licensed Clinical Social Worker

CA License Number LCS70381

Other Languages

National Provider ID 1972725505

Accepting New Patients Yes. Referral may be required.

(616) 460-4529

Certification Number

MEGAN FENYOE -PRIVATE PRACTICE-

SOLANO FRAIN, ELIZABETH

724 TEXAS ST, STE 204

FAIRFIELD, CA 94533

Marriage and Family Therapist

CA License Number MFT17057

Other Languages

National Provider ID 1154406312

Accepting New Patients Yes. Referral may be required.

(707) 292-3559

Certification Number

ELIZABETH FRAIN -PRIVATE PRACTICE-

Page 338 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO GRIFFITH, BARBARA

2165 CAPITOLA WAY,

FAIRFIELD, CA 94534

Marriage and Family Therapist

CA License Number MFT44043

Other Languages

National Provider ID 1740535640

Accepting New Patients Not accepting new patients.

(707) 718-1110

Certification Number

BARBARA GRIFFITH -PRIVATE PRACTICE-

SOLANO GRIFFITH, BARBARA

2165 CAPITOLA WAY,

FAIRFIELD, CA 94534

Marriage and Family Therapist

CA License Number MFT44043

Other Languages

National Provider ID 1740535640

Accepting New Patients Yes. Referral may be required.

(707) 718-1110

Certification Number

BARBARA GRIFFITH -PRIVATE PRACTICE-

SOLANO HACKETT, MARGIE

805 N LINCOLN ST, STE B

DIXON, CA 95620

Marriage and Family Therapist

CA License Number MFC13952

Other Languages SPANISH SPANISH

National Provider ID 1386672541

Accepting New Patients Yes. Referral may be required.

(707) 301-0108

Certification Number

MARGIE HACKETT -PRIVATE PRACTICE-

SOLANO HENRY, MICHAEL

831 ALAMO DR, STE 6B

VACAVILLE, CA 95688

Psychologist

CA License Number PSY22614

Other Languages FRENCH

National Provider ID 1043463714

Accepting New Patients Yes. Referral may be required.

(858) 449-6301

Certification Number

MICHAEL HENRY -PRIVATE PRACTICE-

SOLANO HEYING, ROBERT

631 TENNESSEE ST,

VALLEJO, CA 94590

Psychologist

CA License Number 4536

Other Languages

National Provider ID 1053325290

Accepting New Patients Yes. Referral may be required.

(707) 255-6656

Certification Number

ROBERT H HEYING PHD

SOLANO IZEN-TENGBERGEN, SHARON

419 MASON ST, STE 206A

VACAVILLE, CA 95688

Marriage and Family Therapist

CA License Number MFC31994

Other Languages

National Provider ID 1386786572

Accepting New Patients Yes. Referral may be required.

(707) 758-6094

Certification Number

SHARON IZEN-TENGBERGEN -PRIVATE PRA

Page 339 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO JACKSON, RACHELLE

701 SOUTHAMPTON RD, SUITE 207

BENICIA, CA 94510

Licensed Clinical Social Worker

CA License Number 69668

Other Languages

National Provider ID 1487958757

Accepting New Patients Yes. Referral may be required.

(707) 342-9551

Certification Number

RACHELLE JACKSON -PRIVATE PRACTICE-

SOLANO JACOPETTI, KENNETH

1241 ALAMO DR, STE 3

VACAVILLE, CA 95687

Licensed Clinical Social Worker

CA License Number MFC25589

Other Languages

National Provider ID 1083933568

Accepting New Patients Yes. Referral may be required.

(707) 330-7904

Certification Number

KENNETH JACOPETTI -PRIVATE PRACTICE-

SOLANO JAHANGIRI, HAMEED

5030 BUSINESS CENTER DR, STE 220

FAIRFIELD, CA 94534

Psychiatrist

CA License Number A78392

Other Languages HINDI

National Provider ID 1497707731

Accepting New Patients Yes. Referral may be required.

(707) 864-6860

Certification Number

HAMEED JAHANGIRI -PRIVATE PRACTICE-

SOLANO JAHANGIRI, MOHAMMAD

5030 BUSINESS CENTER DR, STE 220

FAIRFIELD, CA 94534

Psychiatrist

CA License Number A56400

Other Languages HINDI

National Provider ID 1720266760

Accepting New Patients Yes. Referral may be required.

(707) 864-6860

Certification Number

MOHAMMAD JAHANGIRI -PRIVATE PRACTIC

SOLANO JOINVILLE, JUDITH

724 TEXAS ST, 205

FAIRFIELD, CA 94533

Marriage and Family Therapist

CA License Number 31799

Other Languages

National Provider ID 1659447407

Accepting New Patients Yes. Referral may be required.

(707) 775-1281

Certification Number

JUDITH JOINVILLE -PRIVATE PRACTICE-

SOLANO JOINVILLE, JUDITH

348 CERNON ST, STE D

VACAVILLE, CA 95688

Marriage and Family Therapist

CA License Number 31799

Other Languages

National Provider ID 1659447407

Accepting New Patients Yes. Referral may be required.

(707) 775-1281

Certification Number

JUDITH JOINVILLE -PRIVATE PRACTICE-

Page 340 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO KAPLAN, ALLEN

555 1ST ST, STE 200

BENICIA, CA 94510

Marriage and Family Therapist

CA License Number MFC00031755

Other Languages

National Provider ID 1437190691

Accepting New Patients Yes. Referral may be required.

(707) 373-2239

Certification Number

ALLEN KAPLAN -PRIVATE PRACTICE-

SOLANO KELLER, SUSAN

631 TENNESSEE ST,

VALLEJO, CA 94590

Psychologist

CA License Number PSY16445

Other Languages

National Provider ID 1871688721

Accepting New Patients Yes. Referral may be required.

(707) 937-6000

Certification Number

SUSAN KELLER PHD

SOLANO KHAN, SHAHBAZ

5030 BUSINESS CENTER DR, STE 220

FAIRFIELD, CA 94534

Psychiatrist

CA License Number A53269

Other Languages FARSI

National Provider ID 1619048295

Accepting New Patients Yes. Referral may be required.

(707) 864-6860

Certification Number

SHAHBAZ KHAN -PRIVATE PRACTICE-

SOLANO KING, TRISTRAM

333 1ST ST

BENICIA, CA 94510

Marriage and Family Therapist

CA License Number MFT93998

Other Languages

National Provider ID 1538512025

Accepting New Patients Yes. Referral may be required.

(925) 389-3993

Certification Number

TRISTRAM KING -PRIVATE PRACTICE-

SOLANO KLIMENKO, MARY JULIA

3 SHOAL DR E

VALLEJO, CA 94591

Marriage and Family Therapist

CA License Number MFT27292

Other Languages

National Provider ID 1376646968

Accepting New Patients Yes. Referral may be required.

(925) 344-3241

Certification Number

MARY JULIA KLIMENKO -PRIVATE PRACTICE

SOLANO KNIGHT, SUSAN

801 E 2ND ST, STE 101

BENICIA, CA 94510

Licensed Clinical Social Worker

CA License Number LCSW9099

Other Languages

National Provider ID 1114080918

Accepting New Patients Yes. Referral may be required.

(707) 373-7024

Certification Number

SUSAN KNIGHT -PRIVATE PRACTICE-

Page 341 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO KULUVA, JOSHUA

1860 PENNSYLVANIA AVE, STE 320

FAIRFIELD, CA 94533

Psychiatrist

CA License Number 109267

Other Languages ALBANIAN ARABIC CAMBODIAN

National Provider ID 1992963920

Accepting New Patients Yes. Referral may be required.

(707) 646-4370

Certification Number

JOSHUA KULUVA -PRIVATE PRACTICE-

SOLANO KULUVA, JOSHUA

1860 PENNSYLVANIA AVE, STE 230

FAIRFIELD, CA 94533

Psychiatrist

CA License Number 109267

Other Languages ALBANIAN ARABIC CAMBODIAN

National Provider ID 1992963920

Accepting New Patients Yes. Referral may be required.

(707) 646-4370

Certification Number

JOSHUA KULUVA -PRIVATE PRACTICE-

SOLANO KULUVA, JOSHUA

1200 B GALE WILSON BLVD

FAIRFIELD, CA 94533

Psychiatrist

CA License Number 109267

Other Languages ALBANIAN ARABIC CAMBODIAN

National Provider ID 1992963920

Accepting New Patients Yes. Referral may be required.

(415) 964-5137

Certification Number

JOSHUA KULUVA -PRIVATE PRACTICE-

SOLANO LANDO, ROBERT

419 MASON ST, STE 214

VACAVILLE, CA 95688

Licensed Clinical Social Worker

CA License Number LCS14399

Other Languages

National Provider ID 1710974886

Accepting New Patients Yes. Referral may be required.

(707) 344-3249

Certification Number

ROBERT E LANDO LCSW

SOLANO LARGMAN, CAROL

532 OREGON ST,

VALLEJO, CA 94590

Licensed Clinical Social Worker

CA License Number LCS9830

Other Languages

National Provider ID 1780617845

Accepting New Patients Yes. Referral may be required.

(707) 648-2337

Certification Number

CAROL LARGMAN -PRIVATE PRACTICE-

SOLANO MACK, KIM

1440 MILITARY W, STE 201B

BENICIA, CA 94510

Marriage and Family Therapist

CA License Number 22328

Other Languages

National Provider ID 1699896795

Accepting New Patients Yes. Referral may be required.

(707) 747-0500

Certification Number

KIM MACK -PRIVATE PRACTICE-

Page 342 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO MARTZ, JEFFREY

631 TENNESSEE ST,

VALLEJO, CA 94590

Marriage and Family Therapist

CA License Number MFC37562

Other Languages SPANISH

National Provider ID 1457424418

Accepting New Patients Yes. Referral may be required.

(707) 338-2399

Certification Number

JEFFREY MARTZ -PRIVATE PRACTICE-

SOLANO MASSON, RACHAEL

1350 HAYES ST, STE B12

BENICIA, CA 94510

Marriage and Family Therapist

CA License Number 45908

Other Languages SPANISH

National Provider ID 1619039385

Accepting New Patients Yes. Referral may be required.

(707) 319-5660

Certification Number

RACHAEL MASSON -PRIVATE PRACTICE-

SOLANO MASSON, RACHAEL

236 GEORGIA ST, STE 200B

VALLEJO, CA 94590

Marriage and Family Therapist

CA License Number 45908

Other Languages SPANISH

National Provider ID 1619039385

Accepting New Patients Yes. Referral may be required.

(707) 319-5660

Certification Number

RACHAEL MASSON -PRIVATE PRACTICE-

SOLANO MCCARVER, SHARON

125 N LINCOLN ST, STE H

DIXON, CA 95620

Psychologist

CA License Number PSY 20289

Other Languages

National Provider ID 1609044031

Accepting New Patients Yes. Referral may be required.

(707) 334-1544

Certification Number

SHARON MCCARVER -PRIVATE PRACTICE-

SOLANO MICHAEL, VERONICA

1300 OLIVER RD

FAIRFIELD, CA 94534

Marriage and Family Therapist

CA License Number MFC85468

Other Languages

National Provider ID 1861544538

Accepting New Patients Yes. Referral may be required.

(707) 514-5812

Certification Number

VERONICA MICHAEL -PRIVATE PRACTICE-

SOLANO MILLER-TEASTER, DEBORAH

3694 HILBORN RD, STE 150

FAIRFIELD, CA 94534

Licensed Clinical Social Worker

CA License Number LSW 10493

Other Languages

National Provider ID 1437213329

Accepting New Patients Yes. Referral may be required.

(707) 567-9994

Certification Number

DEBORAH MILLER-TEASTER -PRIVATE PRA

Page 343 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO PATTON, VALERIE

631 TENNESSEE ST

VALLEJO, CA 94590

Licensed Clinical Social Worker

CA License Number 69214

Other Languages

National Provider ID 1649420456

Accepting New Patients Yes. Referral may be required.

(510) 377-0663

Certification Number

VALERIE PATTON -PRIVATE PRACTICE-

SOLANO PIUS, SHAMMY

418 DAVIS ST, STE B

VACAVILLE, CA 95688

Marriage and Family Therapist

CA License Number MFC38781

Other Languages CHINESE

National Provider ID 1710025903

Accepting New Patients Yes. Referral may be required.

(209) 604-1881

Certification Number

SHAMMY PIUS -PRIVATE PRACTICE-

SOLANO RICE, DAVID

801 E 2ND ST, STE 101

BENICIA, CA 94510

Psychologist

CA License Number PSY4548

Other Languages

National Provider ID 1467483735

Accepting New Patients Yes. Referral may be required.

(707) 557-9202

Certification Number

DAVID RICE -PRIVATE PRACTICE-

SOLANO RUDNICK, CRAIG

5030 BUSINESS CENTER DR, STE 220

FAIRFIELD, CA 94534

Psychiatrist

CA License Number A102459

Other Languages

National Provider ID 1184831661

Accepting New Patients Yes. Referral may be required.

(707) 864-6860

Certification Number

CRAIG RUDNICK -PRIVATE PRACTICE-

SOLANO SACK, PHILIPP

5030 BUSINESS CENTER DR, STE 310

FAIRFIELD, CA 94534

Psychiatrist

CA License Number C133712

Other Languages SPANISH GERMAN

National Provider ID 1790974863

Accepting New Patients Yes. Referral may be required.

(707) 864-6860

Certification Number

PHILIPP SACK -PRIVATE PRACTICE-

SOLANO SALAZAR, LILIA

744 EMPIRE ST,

FAIRFIELD, CA 94533

Psychologist

CA License Number 14890

Other Languages TAGALOG

National Provider ID 1023174646

Accepting New Patients Yes. Referral may be required.

(707) 372-5119

Certification Number

LILIA SALAZAR -PRIVATE PRACTICE-

Page 344 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO SCHNABOLK, JAY

3694 HILBORN RD, STE 150

FAIRFIELD, CA 94534

Licensed Clinical Social Worker

CA License Number LCS18690

Other Languages

National Provider ID 1417004847

Accepting New Patients Yes. Referral may be required.

(530) 220-2632

Certification Number

JAY SCHNABOLK -PRIVATE PRACTICE-

SOLANO SCHWARTZMAN, JACQUELINE

111 WEST F ST,

BENICIA, CA 94510

Marriage and Family Therapist

CA License Number MFC31107

Other Languages

National Provider ID 1316069065

Accepting New Patients Yes. Referral may be required.

(707) 747-0313

Certification Number

JACQUELINE SCHWARTZMAN -PRIVATE PRA

SOLANO SMITH, CATHERINE

190 S ORCHARD AVE, STE A108

VACAVILLE, CA 95688

Marriage and Family Therapist

CA License Number MFC25078

Other Languages

National Provider ID 1144337973

Accepting New Patients Yes. Referral may be required.

(707) 446-2950

Certification Number

CATHERINE SMITH MFT

SOLANO SOLANA, LESLIE

630 ORANGE DR, STE S

VACAVILLE, CA 95687

Licensed Clinical Social Worker

CA License Number LCSW12496

Other Languages

National Provider ID 1396811311

Accepting New Patients Yes. Referral may be required.

(707) 425-6065

Certification Number

LESLIE SOLANA -PRIVATE PRACTICE-

SOLANO TESSLER, STEPHEN

125 N LINCOLN ST, STE H

DIXON, CA 95620

Marriage and Family Therapist

CA License Number MFT4038

Other Languages

National Provider ID 1518043835

Accepting New Patients Yes. Referral may be required.

(530) 341-2123

Certification Number

STEPHEN TESSLER -PRIVATE PRACTICE-

SOLANO THOMPSON, SUMMER

1241 ALAMO DR, STE 6

VACAVILLE, CA 95687

Professional Clinical Counselor

CA License Number 95004657

Other Languages SPANISH

National Provider ID 1114471844

Accepting New Patients Yes. Referral may be required.

(707) 741-3037

Certification Number

SUMMER THOMPSON -PRIVATE PRACTICE-

Page 345 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO TUNIS, LAWRENCE

744 EMPIRE ST, STE 140

FAIRFIELD, CA 94533

Marriage and Family Therapist

CA License Number MFC47576

Other Languages

National Provider ID 1609938265

Accepting New Patients Yes. Referral may be required.

(415) 847-3677

Certification Number

LAWRENCE TUNIS -PRIVATE PRACTICE-

SOLANO TUNIS, LAWRENCE

526 TENNESSEE ST,

VALLEJO, CA 94590

Marriage and Family Therapist

CA License Number MFC47576

Other Languages

National Provider ID 1609938265

Accepting New Patients Yes. Referral may be required.

(415) 847-3677

Certification Number

LAWRENCE TUNIS -PRIVATE PRACTICE-

SOLANO VAN ARSDALE, DIANE

801 E 2ND ST, STE 101

BENICIA, CA 94510

Psychologist

CA License Number PSY00009613

Other Languages

National Provider ID 1669538831

Accepting New Patients Yes. Referral may be required.

(707) 416-6525

Certification Number

DIANE B VAN ARSDALE PHD

SOLANO VELASCO, IRENE

301 GEORGIA ST, STE 125

VALLEJO, CA 94590

Marriage and Family Therapist

CA License Number LMFT94890

Other Languages TAGALOG

National Provider ID 1366758294

Accepting New Patients Yes. Referral may be required.

(707) 334-2607

Certification Number

IRENE VELASCO -PRIVATE PRACTICE-

SOLANO WEINTROB, STEVEN

801 E 2ND ST, STE 101

BENICIA, CA 94510

Psychologist

CA License Number PSY9620

Other Languages

National Provider ID 1285787069

Accepting New Patients Yes. Referral may be required.

(925) 283-1939

Certification Number

STEVEN WEINTROB -PRIVATE PRACTICE-

SOLANO WEISS, EMANUEL

638 1/2 1ST ST,

BENICIA, CA 94510

Psychologist

CA License Number PSY16567

Other Languages

National Provider ID 1164662573

Accepting New Patients Yes. Referral may be required.

(925) 788-1389

Certification Number

EMANUEL WEISS -PRIVATE PRACTICE-

Page 346 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SOLANO WIDROE, HARVEY

5030 BUSINESS CENTER DR, STE 310

FAIRFIELD, CA 94534

Psychiatrist

CA License Number G4880

Other Languages

National Provider ID 1003977851

Accepting New Patients Yes. Referral may be required.

(707) 864-6860

Certification Number

HARVEY WIDROE -PRIVATE PRACTICE-

SONOMA ACLUFI, ALLSION

1049 4TH ST, STE G

SANTA ROSA, CA 95404

Psychologist

CA License Number PSY26810

Other Languages

National Provider ID 1972900124

Accepting New Patients Yes. Referral may be required.

(707) 755-1135

Certification Number

ALLSION ACLUFI -PRIVATE PRACTICE-

SONOMA ADVOCATE, ARIANNE

132 LELAND ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 51796

Other Languages

National Provider ID 1831312677

Accepting New Patients Yes. Referral may be required.

(707) 548-4305

Certification Number

ARIANNE ADVOCATE -PRIVATE PRACTICE-

SONOMA BABIN, ANNIE

819 3RD ST, STE 103

SANTA ROSA, CA 95404

Psychologist

CA License Number PSY28354

Other Languages

National Provider ID 1942659024

Accepting New Patients Yes. Referral may be required.

(707) 385-1681

Certification Number

ANNIE BABIN -PRIVATE PRACTICE-

SONOMA BABIN, ANNIE

141 NORTH ST, C

HEALDSBURG, CA 95448

Psychologist

CA License Number PSY28354

Other Languages

National Provider ID 1942659024

Accepting New Patients Yes. Referral may be required.

(707) 385-1681

Certification Number

ANNIE BABIN -PRIVATE PRACTICE-

SONOMA BARNETT, MARION

1301 REDWOOD WAY, STE 110

PETALUMA, CA 94954

Marriage and Family Therapist

CA License Number MFC43039

Other Languages

National Provider ID 1437327301

Accepting New Patients Yes. Referral may be required.

(707) 526-8300

Certification Number

MARION BARNETT -PRIVATE PRACTICE-

Page 347 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA BAUMAN, MARTIN

2455 BENNETT VALLEY ROAD, STE 300 B

SANTA ROSA, CA 95405

Psychiatrist

CA License Number AO19088

Other Languages

National Provider ID 1285766527

Accepting New Patients Yes. Referral may be required.

(707) 544-6022

Certification Number

MARTIN BAUMAN -PRIVATE PRACTICE-

SONOMA BEALL, CONSTANCE

2 PADRE PKWY, STE 202

ROHNERT PARK, CA 94928

Marriage and Family Therapist

CA License Number MFT24807

Other Languages

National Provider ID 1760537088

Accepting New Patients Yes. Referral may be required.

(707) 584-1114

Certification Number

CONSTANCE BEALL -PRIVATE PRACTICE-

SONOMA BEAN, WARREN

504 S E ST

SANTA ROSA, CA 95404

Psychologist

CA License Number PSY11977

Other Languages

National Provider ID 1437180361

Accepting New Patients Yes. Referral may be required.

(707) 528-9605

Certification Number

WARREN BEAN -PRIVATE PRACTICE-

SONOMA BEAN, WARREN

480 TESCONI CIR, STE B

SANTA ROSA, CA 95401

Psychologist

CA License Number PSY11977

Other Languages

National Provider ID 1437180361

Accepting New Patients Yes. Referral may be required.

(707) 206-7268

Certification Number

WARREN BEAN -PRIVATE PRACTICE-

SONOMA BEEM, BONNIE

1101 COLLEGE AVE, STE 230

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number LMFT25326

Other Languages

National Provider ID 1437388550

Accepting New Patients Yes. Referral may be required.

(707) 560-1101

Certification Number

REDWOOD PSYCHALLIANCE MEDICAL

SONOMA BENAVIDES JR, ROBERT

2455 BENNETT VALLEY RD, STE C210

SANTA ROSA, CA 95404

Psychologist

CA License Number 11363

Other Languages SPANISH

National Provider ID 1487638714

Accepting New Patients Yes. Referral may be required.

(707) 542-2081

Certification Number

ROBERT BENAVIDES JR -PRIVATE PRACTIC

Page 348 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA BENOIT, DAVID

95 MONTGOMERY DR, STE 202

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 38785

Other Languages

National Provider ID 1871519827

Accepting New Patients Yes. Referral may be required.

(707) 480-8842

Certification Number

DAVID BENOIT -PRIVATE PRACTICE-

SONOMA BLANK, JEREMY

2455 BENNETT VALLEY RD, STE 208B

SANTA ROSA, CA 95404

Psychologist

CA License Number 27148

Other Languages

National Provider ID 1215260591

Accepting New Patients Yes. Referral may be required.

(707) 494-2332

Certification Number

JEREMY BLANK -PRIVATE PRACTICE-

SONOMA BOHNKER, CYNTHIA

912 DETURK AVE,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC28279

Other Languages

National Provider ID 1851594733

Accepting New Patients Yes. Referral may be required.

(707) 364-7744

Certification Number

SONOMA CO CHRISTIAN COUNSELING

SONOMA BRADLEY, NANCY

621 CHERRY ST

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFT47990

Other Languages

National Provider ID 1215162045

Accepting New Patients Yes. Referral may be required.

(707) 799-7647

Certification Number

NANCY BRADLEY -PRIVATE PRACTICE-

SONOMA BRAZIL, BRENDA

459 HUDSON ST,

HEALDSBURG, CA 95448

Marriage and Family Therapist

CA License Number 46838

Other Languages

National Provider ID 1558671420

Accepting New Patients Yes. Referral may be required.

(707) 431-8438

Certification Number

BRENDA BRAZIL -PRIVATE PRACTICE-

SONOMA BREISACHER, ELLEN

1160 N DUTTON AVE, STE 230

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number 15794

Other Languages

National Provider ID 1952319709

Accepting New Patients Yes. Referral may be required.

(707) 303-3204

Certification Number

ELLEN BREISACHER -PRIVATE PRACTICE-

Page 349 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA BRIDGES, JEFFREY

576 B STREET, STE 1 A

SANTA ROSA, CA 95401

Psychologist

CA License Number PSY11129

Other Languages

National Provider ID 1750431490

Accepting New Patients Yes. Referral may be required.

(707) 546-5327

Certification Number

JEFFREY KEITH BRIDGES PHD

SONOMA BRIGGS, SUSAN

576 B ST, STE 1A

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number MFC25355

Other Languages

National Provider ID 1174557847

Accepting New Patients Yes. Referral may be required.

(707) 546-5253

Certification Number

SUSAN BRIGGS MFT

SONOMA BROOKS, PATRICIA

620 BROADWAY,

SONOMA, CA 95476

Licensed Clinical Social Worker

CA License Number LCS12488

Other Languages SPANISH

National Provider ID 1235268988

Accepting New Patients Yes. Referral may be required.

(707) 935-2900

Certification Number

PATRICIA BROOKS -PRIVATE PRACTICE-

SONOMA BRUNNER, PAMELA

124 WIKIUP DR

SANTA ROSA, CA 95403

Psychologist

CA License Number PSY25711

Other Languages

National Provider ID 1780023150

Accepting New Patients Yes. Referral may be required.

(707) 484-0319

Certification Number

PAMELA BRUNNER -PRIVATE PRACTICE-

SONOMA BURNS, NANCY

105 MORRIS ST, STE 196

SEBASTOPOL, CA 95472

Marriage and Family Therapist

CA License Number MFC30316

Other Languages

National Provider ID 1235382151

Accepting New Patients Yes. Referral may be required.

(707) 217-2678

Certification Number

NANCY BURNS -PRIVATE PRACTICE-

SONOMA BURNS, NANCY

755 JONIVE RD,

SEBASTOPOL, CA 95472

Marriage and Family Therapist

CA License Number MFC30316

Other Languages

National Provider ID 1235382151

Accepting New Patients Yes. Referral may be required.

(707) 217-2678

Certification Number

NANCY BURNS -PRIVATE PRACTICE-

Page 350 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA BUTLER, ROBERT

2455 BENNETT VALLEY RD, STE C210

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number LCS7338

Other Languages

National Provider ID 1093718454

Accepting New Patients Yes. Referral may be required.

(707) 523-8009

Certification Number

ROBERT BUTLER -PRIVATE PRACTICE-

SONOMA CANTOR, LESLEY

21527 MOSCOW RD,

MONTE RIO, CA 95462

Marriage and Family Therapist

CA License Number MFT49867

Other Languages

National Provider ID 1629229893

Accepting New Patients Yes. Referral may be required.

(925) 788-3624

Certification Number

LESLEY CANTOR -PRIVATE PRACTICE-

SONOMA CHAVEZ, KIM-LIEN

8911 LAKEWOOD DR, STE 27D

WINDSOR, CA 95492

Marriage and Family Therapist

CA License Number 51732

Other Languages SPANISH

National Provider ID 1871661454

Accepting New Patients Yes. Referral may be required.

(707) 324-9699

Certification Number

KIM-LIEN CHAVEZ -PRIVATE PRACTICE-

SONOMA CISCO, PATRICIA

865 3RD ST, STE 201

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC28329

Other Languages

National Provider ID 1295994119

Accepting New Patients Yes. Referral may be required.

(707) 526-1944

Certification Number

PATRICIA CISCO -PRIVATE PRACTICE-

SONOMA COLLINS, PAMELA

1160 N DUTTON, STE 230

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number MFC35544

Other Languages

National Provider ID 1396969655

Accepting New Patients Yes. Referral may be required.

(707) 303-3243

Certification Number

PAMELA COLLINS -PRIVATE PRACTICE-

SONOMA COMBS, CARL

19375 HIGHWAY 116,

MONTE RIO, CA 95462

Licensed Clinical Social Worker

CA License Number 7604

Other Languages

National Provider ID 1528225786

Accepting New Patients Yes. Referral may be required.

(707) 865-1200

Certification Number

CARL COMBS -PRIVATE PRACTICE-

Page 351 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA COMPAGNI PORTIS, NATALIE

766 W NAPA ST,

SONOMA, CA 95476

Marriage and Family Therapist

CA License Number 23584

Other Languages

National Provider ID 1306155536

Accepting New Patients Yes. Referral may be required.

(510) 531-1571

Certification Number

NATALIE COMPAGNI PORTIS -PRIVATE PRA

SONOMA CONSIGLIERI, JOANN

17901 RIVERSIDE DR,

SONOMA, CA 95476

Marriage and Family Therapist

CA License Number MFC17757

Other Languages

National Provider ID 1346361474

Accepting New Patients Yes. Referral may be required.

(707) 996-1447

Certification Number

JOANN CONSIGLIERI -PRIVATE PRACTICE-

SONOMA COXHEAD, BEATRICE

1160 N DUTTON, STE 230

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number MFC40620

Other Languages

National Provider ID 1932214509

Accepting New Patients Yes. Referral may be required.

(707) 303-3243

Certification Number

BEATRICE COXHEAD -PRIVATE PRACTICE-

SONOMA CRIMMINS, CAROLYN

1260 N DUTTON AVE, STE 225

SANTA ROSA, CA 95401

Psychologist

CA License Number PSY23205

Other Languages AFRICAN SPANISH

National Provider ID 1902936321

Accepting New Patients Yes. Referral may be required.

(707) 327-6742

Certification Number

CAROLYN CRIMMINS -PRIVATE PRACTICE-

SONOMA CROSSLEYSMITH, VIRGINIA

1212 COLLEGE AVE, STE A

SANTA ROSA, CA 95404

Psychologist

CA License Number 23799

Other Languages

National Provider ID 1538130356

Accepting New Patients Yes. Referral may be required.

(707) 431-7579

Certification Number

VIRGINIA CROSSLEYSMITH -PRIVATE PRAC

SONOMA CUMMINGS, BANO

720 SOUTHPOINT BLVD, STE 212

PETALUMA, CA 94954

Marriage and Family Therapist

CA License Number 16231

Other Languages

National Provider ID 1720189038

Accepting New Patients Yes. Referral may be required.

(707) 778-8090

Certification Number

BANO CUMMINGS -PRIVATE PRACTICE-

Page 352 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA DALZELL, ROBERT

24A URSULINE RD,

SANTA ROSA, CA 95403

Marriage and Family Therapist

CA License Number MFC29489

Other Languages SPANISH

National Provider ID 1649342700

Accepting New Patients Yes. Referral may be required.

(707) 765-1009

Certification Number

ROBERT DALZELL -PRIVATE PRACTICE-

SONOMA DAVIS, BARBARA

621 CHERRY ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC25419

Other Languages AMERICAN SIGN LANGUAGE

National Provider ID 1245325992

Accepting New Patients Yes. Referral may be required.

(707) 523-9920

Certification Number

BARBARA DAVIS -PRIVATE PRACTICE-

SONOMA DAY, JUDITH

19375 HIGHWAY 116,

MONTE RIO, CA 95462

Marriage and Family Therapist

CA License Number MFC25423

Other Languages

National Provider ID 1649316274

Accepting New Patients Yes. Referral may be required.

(707) 865-1200

Certification Number

JUDITH DAY -PRIVATE PRACTICE-

SONOMA DAY, JUDITH

19375 HIGHWAY 116,

MONTE RIO, CA 95462

Marriage and Family Therapist

CA License Number MFC25423

Other Languages

National Provider ID 1649316274

Accepting New Patients Yes. Referral may be required.

(707) 865-5170

Certification Number

JUDITH DAY -PRIVATE PRACTICE-

SONOMA DEMARA, NICHOLAS

722 SPRING ST,

SANTA ROSA, CA 95404

Psychologist

CA License Number 11155

Other Languages ITALIAN

National Provider ID 1740321058

Accepting New Patients Yes. Referral may be required.

(707) 568-6542

Certification Number

NICHOLAS DEMARA -PRIVATE PRACTICE-

SONOMA DENNER, BRUCE

2455 BENNETT VALLEY RD, STE B300

SANTA ROSA, CA 95404

Psychologist

CA License Number PSY4654

Other Languages

National Provider ID 1447318704

Accepting New Patients Yes. Referral may be required.

(707) 544-6022

Certification Number

BRUCE DENNER -PRIVATE PRACTICE-

Page 353 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA DETIERRA, CAROLYN

1160 N DUTTON AVE, STE 230

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number 45053

Other Languages

National Provider ID 1780090571

Accepting New Patients Yes. Referral may be required.

(707) 526-8300

Certification Number

CAROLYN DETIERRA -PRIVATE PRACTICE-

SONOMA DETIERRA, CAROLYN

1301 REDWOOD WAY, STE 110

PETALUMA, CA 94954

Marriage and Family Therapist

CA License Number 45053

Other Languages

National Provider ID 1780090571

Accepting New Patients Yes. Referral may be required.

(707) 526-8300

Certification Number

CAROLYN DETIERRA -PRIVATE PRACTICE-

SONOMA DETIERRA, CAROLYN

435 PETALUMA AVE, STE 138

SEBASTOPOL, CA 95472

Marriage and Family Therapist

CA License Number 45053

Other Languages

National Provider ID 1780090571

Accepting New Patients Yes. Referral may be required.

(707) 583-1456

Certification Number

CAROLYN DETIERRA -PRIVATE PRACTICE-

SONOMA DITTON, PATRICIA

5555 MONTGOMERY DR, APT O204

SANTA ROSA, CA 95409

Psychologist

CA License Number PSY00009483

Other Languages

National Provider ID 1376542985

Accepting New Patients Yes. Referral may be required.

(510) 459-7592

Certification Number

PATRICIA DITTON -PRIVATE PRACTICE-

SONOMA DOLAN, KELLEY

866 3RD ST,

SANTA ROSA, CA 95404

Psychologist

CA License Number PSY12906

Other Languages

National Provider ID 1144239336

Accepting New Patients Yes. Referral may be required.

(707) 526-4932

Certification Number

KELLEY DOLAN -PRIVATE PRACTICE-

SONOMA DOOLEY, DEBORAH

650 LARKFIELD CTR, STE A

SANTA ROSA, CA 95403

Marriage and Family Therapist

CA License Number 23789

Other Languages

National Provider ID 1912378381

Accepting New Patients Yes. Referral may be required.

(708) 775-5547

Certification Number

DEBORAH DOOLEY -PRIVATE PRACTICE-

Page 354 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA DOOLEY, DEBORAH

2900 MENDOCINO AVE, STE 201

SANTA ROSA, CA 95403

Marriage and Family Therapist

CA License Number 23789

Other Languages

National Provider ID 1912378381

Accepting New Patients Yes. Referral may be required.

(707) 775-5547

Certification Number

DEBORAH DOOLEY -PRIVATE PRACTICE-

SONOMA DUNLAP, MARGARET

320 10TH ST, STE 302

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number MFC29003

Other Languages

National Provider ID 1144387754

Accepting New Patients Yes. Referral may be required.

(707) 523-9504

Certification Number

MARGARET DUNLAP -PRIVATE PRACTICE-

SONOMA ENGEL, CYNTHIA

2500 VALLEJO ST, STE 200

SANTA ROSA, CA 95405

Licensed Clinical Social Worker

CA License Number LCS12263

Other Languages

National Provider ID 1699884841

Accepting New Patients Yes. Referral may be required.

(707) 528-2117

Certification Number

CYNTHIA ENGEL -PRIVATE PRACTICE-

SONOMA FAIRFAX LANGSTON, JAIN

2455 BENNETT VALLEY RD, STE B208

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 25636

Other Languages

National Provider ID 1649368150

Accepting New Patients Yes. Referral may be required.

(707) 526-2580

Certification Number

JAIN FAIRFAX LANGSTON -PRIVATE PRACTI

SONOMA FENNELL, WENDY

1815 4TH ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC33015

Other Languages

National Provider ID 1770678633

Accepting New Patients Yes. Referral may be required.

(707) 537-1452

Certification Number

WENDY FENNELL -PRIVATE PRACTICE-

SONOMA FENNELL, WENDY

1815 4TH ST

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFT33015

Other Languages

National Provider ID 1770678633

Accepting New Patients Yes. Referral may be required.

(707) 537-1452

Certification Number

WENDY FENNELL -PRIVATE PRACTICE-

Page 355 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA FERRERA, CYNTHIA

4415 SONOMA HWY, STE A

SANTA ROSA, CA 95409

Psychologist

CA License Number PSY11071

Other Languages

National Provider ID 1568473288

Accepting New Patients Yes. Referral may be required.

(707) 525-9067

Certification Number

CYNTHIA FERRERA -PRIVATE PRACTICE-

SONOMA FERRERA, CYNTHIA

4415 SONOMA HWY, STE A

SANTA ROSA, CA 95409

Psychologist

CA License Number 11071

Other Languages

National Provider ID 1568473288

Accepting New Patients Yes. Referral may be required.

(707) 525-9067

Certification Number

CYNTHIA FERRERA -PRIVATE PRACTICE-

SONOMA FERSHTMAN, CAROLYN

621 CHERRY ST

SANTA ROSA, CA 95404

Psychologist

CA License Number PSY22774

Other Languages

National Provider ID 1689804460

Accepting New Patients Yes. Referral may be required.

(707) 528-2441

Certification Number

CAROLYN FERSHTMAN -PRIVATE PRACTICE

SONOMA FILIPPA, ALYSON

7765 HEALDSBURG AVE, STE 17

SEBASTOPOL, CA 95472

Licensed Clinical Social Worker

CA License Number 29587

Other Languages

National Provider ID 1184043085

Accepting New Patients Yes. Referral may be required.

(707) 827-1942

Certification Number

ALYSON FILIPPA -PRIVATE PRACTICE-

SONOMA FLETT, MARY

19449 RIVERSIDE DR, STE 230

SONOMA, CA 95476

Psychologist

CA License Number PSY17130

Other Languages

National Provider ID 1962425744

Accepting New Patients Yes. Referral may be required.

(707) 938-5531

Certification Number

MARY FLETT -PRIVATE PRACTICE-

SONOMA FORMAKER, WILLIAM

606 BEAVER ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFCC29030

Other Languages SPANISH

National Provider ID 1811901143

Accepting New Patients Yes. Referral may be required.

(707) 544-5717

Certification Number

WILLIAM FORMAKER -PRIVATE PRACTICE-

Page 356 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA FRAIN, ELIZABETH

1550 AIRPORT BLVD, STE 206

SANTA ROSA, CA 95403

Marriage and Family Therapist

CA License Number MFT17057

Other Languages

National Provider ID 1154406312

Accepting New Patients Yes. Referral may be required.

(707) 292-3559

Certification Number

ELIZABETH FRAIN -PRIVATE PRACTICE-

SONOMA FREEMAN, DENISE

659 CHERRY ST, STE 103

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 35744

Other Languages

National Provider ID 1336269273

Accepting New Patients Yes. Referral may be required.

(707) 573-3868

Certification Number

DENISE FREEMAN -PRIVATE PRACTICE-

SONOMA GERSTEIN, LOREN

1160 N DUTTON, STE 230

SANTA ROSA, CA 95401

Psychologist

CA License Number PSY15737

Other Languages

National Provider ID 1366574139

Accepting New Patients Yes. Referral may be required.

(707) 303-3243

Certification Number

LOREN GERSTEIN -PRIVATE PRACTICE-

SONOMA GETZ, ANDREW

1301 REDWOOD WAY, STE 110

PETALUMA, CA 94954

Marriage and Family Therapist

CA License Number 52391

Other Languages

National Provider ID 1114049749

Accepting New Patients Yes. Referral may be required.

(707) 303-3200

Certification Number

ANDREW GETZ -PRIVATE PRACTICE-

SONOMA GORDON, SALLY

621 CHERRY ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 30370

Other Languages

National Provider ID 1245358555

Accepting New Patients Yes. Referral may be required.

(707) 292-0306

Certification Number

SALLY GORDON -PRIVATE PRACTICE-

SONOMA GREEN, JULIE

2460 W 3RD ST, STE 220

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number MFC33953

Other Languages

National Provider ID 1285798009

Accepting New Patients Yes. Referral may be required.

(707) 795-0200

Certification Number

JULIE GREEN -PRIVATE PRACTICE-

Page 357 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA GREENWOOD, ELAINE

1101 COLLEGE AVE, STE 230

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 19461

Other Languages

National Provider ID 1023173325

Accepting New Patients Yes. Referral may be required.

(707) 575-4058

Certification Number

ELAINE GREENWOOD -PRIVATE PRACTICE-

SONOMA GRIMANDO, LENORA

621 CHERRY ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number CA19728

Other Languages SPANISH ITALIAN

National Provider ID 1396012167

Accepting New Patients Yes. Referral may be required.

(707) 528-8111

Certification Number

LENORA GRIMANDO -PRIVATE PRACTICE-

SONOMA HALL, MAXINE

862 3RD ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC40190

Other Languages

National Provider ID 1861540957

Accepting New Patients Yes. Referral may be required.

(707) 524-4114

Certification Number

MAXINE HALL MFT

SONOMA HARPER, MARY

1120 COLLEGE AVE,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number LMFT52053

Other Languages

National Provider ID 1861818759

Accepting New Patients Yes. Referral may be required.

(707) 332-2758

Certification Number

MARY HARPER -PRIVATE PRACTICE-

SONOMA HARRIS, JANET

825 COLLEGE AVE, STE 7

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC29063

Other Languages

National Provider ID 1083628622

Accepting New Patients Yes. Referral may be required.

(707) 578-6202

Certification Number

JANET HARRIS -PRIVATE PRACTICE-

SONOMA HART, ROSSANA

320 10TH ST, STE 205

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number LMFT87982

Other Languages

National Provider ID 1992059844

Accepting New Patients Yes. Referral may be required.

(415) 813-3919

Certification Number

ROSSANA HART -PRIVATE PRACTICE-

Page 358 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA HART, ROSSANA

2500 VALLEJO ST, STE 200

SANTA ROSA, CA 95405

Marriage and Family Therapist

CA License Number LMFT87982

Other Languages

National Provider ID 1992059844

Accepting New Patients Yes. Referral may be required.

(415) 813-3919

Certification Number

ROSSANA HART -PRIVATE PRACTICE-

SONOMA HARTNETT, PATRICIA

1008 5TH ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 9257

Other Languages

National Provider ID 1770722092

Accepting New Patients Yes. Referral may be required.

(707) 367-4937

Certification Number

PATRICIA HARTNETT -PRIVATE PRACTICE-

SONOMA HAYES, BARBARA

1160 N DUTTON AVE, STE 230

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number MFC44646

Other Languages

National Provider ID 1346423159

Accepting New Patients Yes. Referral may be required.

(707) 526-8300

Certification Number

BARBARA HAYES -PRIVATE PRACTICE-

SONOMA HELENE, DYLON

124 WIKIUP DR,

SANTA ROSA, CA 95403

Psychologist

CA License Number 28036

Other Languages

National Provider ID 1275932600

Accepting New Patients Yes. Referral may be required.

(707) 570-0803

Certification Number

DYLON HELENE -PRIVATE PRACTICE-

SONOMA HENRY, MOSS

659 CHERRY ST, STE 204

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 29073

Other Languages

National Provider ID 1417060203

Accepting New Patients Yes. Referral may be required.

(707) 525-8968

Certification Number

MOSS HENRY -PRIVATE PRACTICE-

SONOMA HERZIG, CORI

120 PLEASANT HILL AVE N, STE 340

SEBASTOPOL, CA 95472

Psychologist

CA License Number 18508

Other Languages

National Provider ID 1134263643

Accepting New Patients Yes. Referral may be required.

(707) 823-3806

Certification Number

CORI HERZIG -PRIVATE PRACTICE-

Page 359 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA HINER, BRUCE

120 PLEASANT HILL AVE N, STE 340

SEBASTOPOL, CA 95472

Psychologist

CA License Number 19229

Other Languages

National Provider ID 1922119809

Accepting New Patients Yes. Referral may be required.

(707) 696-7494

Certification Number

BRUCE HINER -PRIVATE PRACTICE-

SONOMA HOHENECK-SMITH, DAGMAR

1101 COLLEGE AVE, STE 230

SANTA ROSA, CA 95404

Psychiatrist

CA License Number 33863

Other Languages GERMAN FRENCH

National Provider ID 1538111745

Accepting New Patients Yes. Referral may be required.

(707) 568-1101

Certification Number

DAGMAR HOHENECK-SMITH -PRIVATE PRAC

SONOMA HOLLAND BROWN, JENNIFER

621 CHERRY ST,

SANTA ROSA, CA 95404

Psychologist

CA License Number PSY21675

Other Languages

National Provider ID 1194015958

Accepting New Patients Yes. Referral may be required.

(707) 479-2946

Certification Number

JENNIFER HOLLAND BROWN -PRIVATE PRA

SONOMA HOLLOWAY, DIANA

874 GRAVENSTEIN HWY S, STE 12

SEBASTOPOL, CA 95472

Marriage and Family Therapist

CA License Number 52349

Other Languages FRENCH

National Provider ID 1659521847

Accepting New Patients Yes. Referral may be required.

(707) 228-5942

Certification Number

DIANA HOLLOWAY -PRIVATE PRACTICE-

SONOMA HORNER, DENISE

19375 HIGHWAY 116,

MONTE RIO, CA 95462

Licensed Clinical Social Worker

CA License Number 47296

Other Languages

National Provider ID 1457571978

Accepting New Patients Yes. Referral may be required.

(707) 865-1200

Certification Number

DENISE HORNER -PRIVATE PRACTICE-

SONOMA HOROWITZ, SHEILA

101 MORRIS ST, STE 203

SEBASTOPOL, CA 95472

Marriage and Family Therapist

CA License Number M17378

Other Languages

National Provider ID 1134235286

Accepting New Patients Yes. Referral may be required.

(707) 829-1501

Certification Number

SHEILA HOROWITZ -PRIVATE PRACTICE-

Page 360 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA HULST, HOLLY

1160 N DUTTON AVE, STE 230

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number LMFT88896

Other Languages

National Provider ID 1558782466

Accepting New Patients Yes. Referral may be required.

(707) 303-3200

Certification Number

PSYCH STRATEGIES

SONOMA IVES, IRENE

141 NORTH ST, STE C

HEALDSBURG, CA 95448

Psychologist

CA License Number 21376

Other Languages

National Provider ID 1831317775

Accepting New Patients Yes. Referral may be required.

(707) 484-4082

Certification Number

IRENE IVES -PRIVATE PRACTICE-

SONOMA JACOBS, BRIAN

868 GRAVENSTEIN HWY N, STE 1

SEBASTOPOL, CA 95472

Licensed Clinical Social Worker

CA License Number LCS20203

Other Languages

National Provider ID 1497779425

Accepting New Patients Yes. Referral may be required.

(707) 829-5474

Certification Number

BRIAN JACOBS -PRIVATE PRACTICE-

SONOMA JACOBS, MARSHA

5934 VINE HILL SCHOOL RD,

SEBASTOPOL, CA 95472

Marriage and Family Therapist

CA License Number MFC24481

Other Languages

National Provider ID 1750305314

Accepting New Patients Yes. Referral may be required.

(707) 527-5205

Certification Number

MARSHA JACOBS -PRIVATE PRACTICE-

SONOMA JANSSEN, LUIS

769 AMHERST CIR,

SONOMA, CA 95476

Psychologist

CA License Number PSY8820

Other Languages SPANISH DUTCH

National Provider ID 1073596821

Accepting New Patients Yes. Referral may be required.

(707) 331-6045

Certification Number

LUIS JANSSEN -PRIVATE PRACTICE-

SONOMA JOYCE, ANNA

1815 4TH ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFT19522

Other Languages SPANISH

National Provider ID 1669500740

Accepting New Patients Yes. Referral may be required.

(707) 569-8299

Certification Number

ANNA JOYCE -PRIVATE PRACTICE-

Page 361 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA KAI, ALTHEA

818 CHERRY ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 85245

Other Languages

National Provider ID 1457685687

Accepting New Patients Yes. Referral may be required.

(707) 583-9610

Certification Number

ALTHEA KAI -PRIVATE PRACTICE-

SONOMA KATZ, HARRIET

4527 MONTGOMERY DR, STE F

SANTA ROSA, CA 95409

Licensed Clinical Social Worker

CA License Number LCS16537

Other Languages

National Provider ID 1326193343

Accepting New Patients Yes. Referral may be required.

(707) 544-8879

Certification Number

HARRIET KATZ -PRIVATE PRACTICE-

SONOMA KATZ, MARCIA

825 COLLEGE AVE,

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number 20075

Other Languages

National Provider ID 1467470518

Accepting New Patients Yes. Referral may be required.

(707) 829-3310

Certification Number

MARCIA KATZ -PRIVATE PRACTICE-

SONOMA KAYE, ROBERT

95 MONTGOMERY DR, STE 222

SANTA ROSA, CA 95404

Psychiatrist

CA License Number G16193

Other Languages

National Provider ID 1730197526

Accepting New Patients Yes. Referral may be required.

(707) 579-1968

Certification Number

ROBERT KAYE -PRIVATE PRACTICE-

SONOMA KEITH, DEBORAH

4900 MONTECITO AVE,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC25606

Other Languages

National Provider ID 1326189549

Accepting New Patients Yes. Referral may be required.

(707) 235-6602

Certification Number

DEBORAH KEITH, MFT

SONOMA KESSNER, SUSAN

1160 N DUTTON AVE, STE 230

SANTA ROSA, CA 95401

Licensed Clinical Social Worker

CA License Number LCS732

Other Languages

National Provider ID 1780061093

Accepting New Patients Yes. Referral may be required.

(707) 303-3243

Certification Number

SUSAN KESSNER -PRIVATE PRACTICE-

Page 362 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA KILBURN, KEITH

1301 REDWOOD WAY, STE 110

PETALUMA, CA 94954

Marriage and Family Therapist

CA License Number MFC32587

Other Languages SPANISH

National Provider ID 1518063494

Accepting New Patients Yes. Referral may be required.

(707) 303-3243

Certification Number

KEITH KILBURN -PRIVATE PRACTICE-

SONOMA KISTIN, SUSAN

820 GRAVENSTEIN HWY S, STE: 200

SEBASTOPOL, CA 95472

Marriage and Family Therapist

CA License Number MFC41902

Other Languages

National Provider ID 1962642686

Accepting New Patients Yes. Referral may be required.

(707) 823-1319

Certification Number

SUSAN KISTIN -PRIVATE PRACTICE-

SONOMA KLYCE, ELLEN

18015 COLEMAN VALLEY RD,

OCCIDENTAL, CA 95465

Marriage and Family Therapist

CA License Number LMFT43993

Other Languages

National Provider ID 1811147515

Accepting New Patients Yes. Referral may be required.

(510) 414-1537

Certification Number

ELLEN KLYCE -PRIVATE PRACTICE-

SONOMA KOHLES, CYNTHIA

2455 BENNETT VALLEY RD, STE B208

SANTA ROSA, CA 95404

Psychologist

CA License Number PSY00017462

Other Languages

National Provider ID 1417910316

Accepting New Patients Yes. Referral may be required.

(707) 529-5942

Certification Number

CYNTHIA L KOHLES PHD

SONOMA KRIKORIAN, MICHAEL

100 E ST, STE 312

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC8502

Other Languages

National Provider ID 1710153895

Accepting New Patients Yes. Referral may be required.

(707) 579-0838

Certification Number

MICHAEL KRIKORIAN -PRIVATE PRACTICE-

SONOMA KRIKORIAN, SANDRA

100 E ST, STE 312

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number 22700

Other Languages

National Provider ID 1205295979

Accepting New Patients Yes. Referral may be required.

(707) 579-0838

Certification Number

SANDRA KRIKORIAN -PRIVATE PRACTICE-

Page 363 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA LAFOLLETTE, ANITA

132 LELAND ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 44510

Other Languages

National Provider ID 1376964668

Accepting New Patients Yes. Referral may be required.

(707) 774-4888

Certification Number

ANITA LAFOLLETTE -PRIVATE PRACTICE-

SONOMA LARKIN, CONRAD

1023 4TH ST, STE G

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number 5501

Other Languages

National Provider ID 1104983238

Accepting New Patients Yes. Referral may be required.

(707) 566-7570

Certification Number

CONRAD LARKIN -PRIVATE PRACTICE-

SONOMA LEMESURIER, JEANNIE

480 TESCONI CIR, STE B

SANTA ROSA, CA 95401

Psychologist

CA License Number PSY9827

Other Languages FRENCH

National Provider ID 1730479643

Accepting New Patients Yes. Referral may be required.

(707) 206-7268

Certification Number

JEANNIE LEMESURIER -PRIVATE PRACTICE-

SONOMA LIND, JANE

411 CHINN ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC37874

Other Languages

National Provider ID 1740478908

Accepting New Patients Yes. Referral may be required.

(707) 542-4455

Certification Number

JANE LIND -PRIVATE PRACTICE-

SONOMA LITKE, HEATHER

140 HIGH ST,

SEBASTOPOL, CA 95472

Licensed Clinical Social Worker

CA License Number 254

Other Languages

National Provider ID 1942410915

Accepting New Patients Yes. Referral may be required.

(707) 298-8408

Certification Number

HEATHER LITKE -PRIVATE PRACTICE-

SONOMA LOFGREN, KERSTI

1008 5TH ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 38041

Other Languages SWEDISH

National Provider ID 1417161266

Accepting New Patients Yes. Referral may be required.

(707) 799-4554

Certification Number

KERSTI LOFGREN -PRIVATE PRACTICE-

Page 364 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA LOFGREN, KERSTI

1101 COLLEGE AVE, STE 230

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 38041

Other Languages SWEDISH

National Provider ID 1417161266

Accepting New Patients Yes. Referral may be required.

(707) 568-1101

Certification Number

KERSTI LOFGREN -PRIVATE PRACTICE-

SONOMA LOWRY COLE, JANET

576 B ST, STE 1A

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number MFT32774

Other Languages

National Provider ID 1487710976

Accepting New Patients Yes. Referral may be required.

(707) 542-7987

Certification Number

JAN LOWRY COLE MFT

SONOMA MACHADO, SILVIO

1626 4TH ST,

SANTA ROSA, CA 95404

Psychologist

CA License Number PSY25053

Other Languages

National Provider ID 1730443359

Accepting New Patients Yes. Referral may be required.

(707) 529-3021

Certification Number

SILVIO MACHADO -PRIVATE PRACTICE-

SONOMA MADRID, ANTONIO

19375 HIGHWAY 116,

MONTE RIO, CA 95462

Psychologist

CA License Number PSY3970

Other Languages

National Provider ID 1881818292

Accepting New Patients Yes. Referral may be required.

(707) 865-1200

Certification Number

ANTONIO MADRID -PRIVATE PRACTICE-

SONOMA MAGID, BILLIE

3000 CLEVELAND AVE, STE 107

SANTA ROSA, CA 95403

Marriage and Family Therapist

CA License Number 30892

Other Languages

National Provider ID 1841394061

Accepting New Patients Yes. Referral may be required.

(707) 524-8812

Certification Number

BILLIE MAGID -PRIVATE PRACTICE-

SONOMA MALNEKOFF, DIANE

509 7TH ST, 2ND FL

SANTA ROSA, CA 95401

Psychologist

CA License Number PSY16018

Other Languages

National Provider ID 1861595407

Accepting New Patients Yes. Referral may be required.

(707) 523-1000

Certification Number

DIANE MALNEKOFF -PRIVATE PRACTICE-

Page 365 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA MARGOLIASH, ELIZABETH

406 CHINN ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 23051

Other Languages

National Provider ID 1811265069

Accepting New Patients Yes. Referral may be required.

(707) 542-4549

Certification Number

ELIZABETH MARGOLIASH -PRIVATE PRACTI

SONOMA MARGOLIS, PAUL

3434 MENDOCINO AVE

SANTA ROSA, CA 95403

Marriage and Family Therapist

CA License Number MFC34259

Other Languages

National Provider ID 1689997637

Accepting New Patients Yes. Referral may be required.

(707) 284-1978

Certification Number

PAUL MARGOLIS -PRIVATE PRACTICE-

SONOMA MCCALLUM, DEBORAH

470 PITT AVE

SEBASTOPOL, CA 95472

Marriage and Family Therapist

CA License Number MFC85041

Other Languages

National Provider ID 1902260938

Accepting New Patients Yes. Referral may be required.

(707) 861-8648

Certification Number

DEBORAH MCCALLUM -PRIVATE PRACTICE-

SONOMA MCCARTHY, CYNTHIA

1030 2ND ST, STE 3

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number 12753

Other Languages

National Provider ID 1366509275

Accepting New Patients Yes. Referral may be required.

(707) 889-1112

Certification Number

CYNTHIA MCCARTHY -PRIVATE PRACTICE-

SONOMA MENDELSON, DIANA

850 3RD ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 44145

Other Languages

National Provider ID 1245647312

Accepting New Patients Yes. Referral may be required.

(707) 235-3425

Certification Number

DIANA MENDELSON -PRIVATE PRACTICE-

SONOMA MENKE, JOAN

2455 BENNETT VALLEY RD, STE C210

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number LMFT35407

Other Languages

National Provider ID 1790976645

Accepting New Patients Yes. Referral may be required.

(707) 523-8009

Certification Number

JOAN MENKE -PRIVATE PRACTICE-

Page 366 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA MOORE, LOUISE

1301 REDWOOD WAY, STE 110

PETALUMA, CA 94954

Marriage and Family Therapist

CA License Number 50623

Other Languages

National Provider ID 1366874638

Accepting New Patients Yes. Referral may be required.

(707) 526-8300

Certification Number

LOUISE MOORE -PRIVATE PRACTICE-

SONOMA MOSBY, ROBERT

1160 N DUTTON, STE 230

SANTA ROSA, CA 95401

Psychologist

CA License Number PSY23882

Other Languages

National Provider ID 1750670030

Accepting New Patients Yes. Referral may be required.

(707) 303-3243

Certification Number

ROBERT MOSBY -PRIVATE PRACTICE-

SONOMA OGREN, JAN

621 CHERRY ST

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC29186

Other Languages FRENCH

National Provider ID 1700981370

Accepting New Patients Yes. Referral may be required.

(707) 544-7756

Certification Number

JAN OGREN -PRIVATE PRACTICE-

SONOMA OLSON, LUCY

1200 COLLEGE AVE,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 80613

Other Languages SPANISH

National Provider ID 1588006977

Accepting New Patients Yes. Referral may be required.

(707) 568-2302

Certification Number

LUCY OLSON -PRIVATE PRACTICE-

SONOMA O'NEALL, ANDREW

1260 N DUTTON AVE, STE 225

SANTA ROSA, CA 95401

Psychologist

CA License Number PSY24838

Other Languages

National Provider ID 1891927281

Accepting New Patients Yes. Referral may be required.

(707) 526-5424

Certification Number

ANDREW O'NEALL -PRIVATE PRACTICE-

SONOMA PALMATIER, ANITA INDIRA

8999 CYPRESS AVE,

COTATI, CA 94931

Marriage and Family Therapist

CA License Number LMFT27414

Other Languages

National Provider ID 1700928553

Accepting New Patients Yes. Referral may be required.

(707) 792-1214

Certification Number

ANITA INDIRA PALMATIER -PRIVATE PRACTI

Page 367 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA PALMATIER, ANITA INDIRA

8999 CYPRESS AVE

COTATI, CA 94931

Marriage and Family Therapist

CA License Number LMFT27414

Other Languages

National Provider ID 1700928553

Accepting New Patients Yes. Referral may be required.

(707) 792-1214

Certification Number

ANITA INDIRA PALMATIER -PRIVATE PRACTI

SONOMA PARK, LINDA

2 PADRE PKWY, STE 100

ROHNERT PARK, CA 94928

Licensed Clinical Social Worker

CA License Number 2594

Other Languages

National Provider ID 1245203538

Accepting New Patients Yes. Referral may be required.

(707) 795-1590

Certification Number

LINDA R PARK LCSW

SONOMA PELETZ, JUDITH

1144 SONOMA AVE, STE 117

SANTA ROSA, CA 95405

Marriage and Family Therapist

CA License Number 39578

Other Languages

National Provider ID 1467532739

Accepting New Patients Yes. Referral may be required.

(707) 526-7720

Certification Number

JUDITH PELETZ -PRIVATE PRACTICE-

SONOMA PLUMB, LUCAS

1008 5TH ST,

SANTA ROSA, CA 95404

Psychologist

CA License Number 24405

Other Languages

National Provider ID 1770892952

Accepting New Patients Yes. Referral may be required.

(707) 529-3030

Certification Number

LUCAS PLUMB -PRIVATE PRACTICE-

SONOMA POTREBIC, GORDANA

120 PLEASANT HILL AVE N, STE 340

SEBASTOPOL, CA 95472

Psychologist

CA License Number PSY27343

Other Languages

National Provider ID 1699960666

Accepting New Patients Yes. Referral may be required.

(707) 478-5689

Certification Number

GORDANA POTREBIC -PRIVATE PRACTICE-

SONOMA POULSON, DIANA

1160 N DUTTON AVE, STE 230

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number MFC34244

Other Languages

National Provider ID 1114241205

Accepting New Patients Yes. Referral may be required.

(707) 303-3200

Certification Number

DIANA POULSON -PRIVATE PRACTICE-

Page 368 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA PRETKEL, PETER

1301 REDWOOD WAY, STE 110

PETALUMA, CA 94954

Psychologist

CA License Number PSY23168

Other Languages

National Provider ID 1093836603

Accepting New Patients Yes. Referral may be required.

(707) 526-8300

Certification Number

PETER PRETKEL -PRIVATE PRACTICE-

SONOMA PRICHARD, HOLLIS

608 COLLEGE AVE,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 35424

Other Languages

National Provider ID 1972726792

Accepting New Patients Yes. Referral may be required.

(707) 591-5065

Certification Number

HOLLIS PRICHARD -PRIVATE PRACTICE-

SONOMA PRYOR, VANCE

1301 REDWOOD WAY, STE 110

PETALUMA, CA 94954

Psychologist

CA License Number 25834

Other Languages

National Provider ID 1578711289

Accepting New Patients Yes. Referral may be required.

(707) 303-3200

Certification Number

VANCE PRYOR -PRIVATE PRACTICE-

SONOMA PRYOR, VANCE

1160 N DUTTON AVE, STE 230

SANTA ROSA, CA 95401

Psychologist

CA License Number 25834

Other Languages

National Provider ID 1578711289

Accepting New Patients Yes. Referral may be required.

(707) 303-3200

Certification Number

VANCE PRYOR -PRIVATE PRACTICE-

SONOMA PUENTES, JOSEPH

2455 BENNETT VALLEY RD, STE B208

SANTA ROSA, CA 95404

Psychologist

CA License Number PSY25330

Other Languages

National Provider ID 1568806560

Accepting New Patients Yes. Referral may be required.

(707) 583-9663

Certification Number

JOSEPH PUENTES -PRIVATE PRACTICE-

SONOMA RISCHETTE, RANDY

120 PLEASANT HILL AVE N, STE 340

SEBASTOPOL, CA 95472

Psychiatrist

CA License Number A00055492

Other Languages

National Provider ID 1467679258

Accepting New Patients Yes. Referral may be required.

(707) 524-4431

Certification Number

RANDY RISCHETTE

Page 369 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA ROSENTHAL, ARTHUR

650 LARKFIELD CTR, STE A

SANTA ROSA, CA 95403

Marriage and Family Therapist

CA License Number LMFT34009

Other Languages

National Provider ID 1144240037

Accepting New Patients Yes. Referral may be required.

(707) 566-7910

Certification Number

ARTHUR ROSENTHAL -PRIVATE PRACTICE-

SONOMA ROSENTHAL, ARTHUR

650 LARKFIELD CTR, STE A

SANTA ROSA, CA 95403

Marriage and Family Therapist

CA License Number MFT34009

Other Languages

National Provider ID 1144240037

Accepting New Patients Yes. Referral may be required.

(707) 566-7910

Certification Number

ARTHUR ROSENTHAL -PRIVATE PRACTICE-

SONOMA RUSSELL, JUANITA

621 CHERRY ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFT29702

Other Languages

National Provider ID 1497851174

Accepting New Patients Yes. Referral may be required.

(707) 547-0567

Certification Number

JUANITA RUSSELL -PRIVATE PRACTICE-

SONOMA RUTH, JEANNE

411 EAST ST,

HEALDSBURG, CA 95448

Licensed Clinical Social Worker

CA License Number LCS28044

Other Languages

National Provider ID 1336384890

Accepting New Patients Yes. Referral may be required.

(707) 779-8926

Certification Number

JEANNE RUTH -PRIVATE PRACTICE-

SONOMA RUTH, JEANNE

633 CHERRY ST,

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number LCS28044

Other Languages

National Provider ID 1336384890

Accepting New Patients Yes. Referral may be required.

(707) 779-8926

Certification Number

JEANNE RUTH -PRIVATE PRACTICE-

SONOMA SAMPSON, CAROL

405 CHINN ST, STE 103

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC00022461

Other Languages

National Provider ID 1114949427

Accepting New Patients Yes. Referral may be required.

(707) 579-0239

Certification Number

CAROL SAMPSON MFT

Page 370 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA SANDERS, KAREN

620 BROADWAY,

SONOMA, CA 95476

Licensed Clinical Social Worker

CA License Number LCS10874

Other Languages

National Provider ID 1972720795

Accepting New Patients Yes. Referral may be required.

(707) 931-0322

Certification Number

KAREN SANDERS -PRIVATE PRACTICE-

SONOMA SAUNDERS, ROBERTA

2 PADRE PKWY, STE 100

ROHNERT PARK, CA 94928

Marriage and Family Therapist

CA License Number MFC20071

Other Languages

National Provider ID 1891711818

Accepting New Patients Yes. Referral may be required.

(707) 829-8373

Certification Number

ROBERTA SAUNDERS -PRIVATE PRACTICE-

SONOMA SCALIATINE, LEZLIE

1625 TERRACE WAY,

SANTA ROSA, CA 95404

Psychologist

CA License Number 20716

Other Languages

National Provider ID 1487847836

Accepting New Patients Yes. Referral may be required.

(510) 206-7917

Certification Number

LEZLIE SCALIATINE -PRIVATE PRACTICE-

SONOMA SCHRAMM, NATALIE

421 HUMBOLDT ST

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number LCS26582

Other Languages

National Provider ID 1336230069

Accepting New Patients Yes. Referral may be required.

(707) 526-1994

Certification Number

NATALIE SCHRAMM -PRIVATE PRACTICE-

SONOMA SCHROFFEL, ALAN

1023 4TH ST,

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number LCS8829

Other Languages

National Provider ID 1255535035

Accepting New Patients Yes. Referral may be required.

(707) 578-8765

Certification Number

ALAN SCHROFFEL -PRIVATE PRACTICE-

SONOMA SCHURMAN, CHRISTY

1160 N DUTTON AVE, STE 230

SANTA ROSA, CA 95401

Psychologist

CA License Number PSY17978

Other Languages

National Provider ID 1134273899

Accepting New Patients Yes. Referral may be required.

(707) 303-3200

Certification Number

PSYCH STRATEGIES

Page 371 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA SEATON, HOLLY

835 BROADWAY,

SONOMA, CA 95476

Marriage and Family Therapist

CA License Number RN216289

Other Languages

National Provider ID 1821200866

Accepting New Patients Yes. Referral may be required.

(707) 939-3623

Certification Number

HOLLY SEATON -PRIVATE PRACTICE-

SONOMA SHAH, ANISH

480 TESCONI CIR, STE B

SANTA ROSA, CA 95401

Psychiatrist

CA License Number A84992

Other Languages

National Provider ID 1164615589

Accepting New Patients Yes. Referral may be required.

(707) 206-7268

Certification Number

ANISH SHAH -PRIVATE PRACTICE-

SONOMA SHECKLER-SMITH, BERT

1160 N DUTTON, STE 230

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number 28723

Other Languages

National Provider ID 1700058708

Accepting New Patients Yes. Referral may be required.

(707) 303-3243

Certification Number

BERT SHECKLER-SMITH -PRIVATE PRACTIC

SONOMA SHECKLER-SMITH, BERT

1301 REDWOOD WAY, STE 110

PETALUMA, CA 94954

Marriage and Family Therapist

CA License Number 28723

Other Languages

National Provider ID 1700058708

Accepting New Patients Yes. Referral may be required.

(707) 303-3243

Certification Number

BERT SHECKLER-SMITH -PRIVATE PRACTIC

SONOMA SHIPPEY, KIM

1301 REDWOOD WAY, STE 110

PETALUMA, CA 94954

Licensed Clinical Social Worker

CA License Number LCS17312

Other Languages

National Provider ID 1497817670

Accepting New Patients Yes. Referral may be required.

(707) 526-8300

Certification Number

KIM SHIPPEY -PRIVATE PRACTICE-

SONOMA SHONINGER, RICHARD

1301 REDWOOD WAY, STE 110

PETALUMA, CA 94954

Licensed Clinical Social Worker

CA License Number 15306

Other Languages

National Provider ID 1629133160

Accepting New Patients Yes. Referral may be required.

(707) 526-8300

Certification Number

RICHARD SHONINGER -PRIVATE PRACTICE-

Page 372 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA SHONINGER, RICHARD

1160 N DUTTON AVE, STE 230

SANTA ROSA, CA 95401

Licensed Clinical Social Worker

CA License Number 15306

Other Languages

National Provider ID 1629133160

Accepting New Patients Yes. Referral may be required.

(707) 526-8300

Certification Number

RICHARD SHONINGER -PRIVATE PRACTICE-

SONOMA SILVER, GERALD

454 W NAPA ST,

SONOMA, CA 95476

Psychologist

CA License Number 5662

Other Languages

National Provider ID 1053300897

Accepting New Patients Yes. Referral may be required.

(707) 938-0226

Certification Number

GERALD SILVER -PRIVATE PRACTICE-

SONOMA SITZMAN, JUDITH

555 W COLLEGE AVE,

SANTA ROSA, CA 95401

Professional Clinical Counselor

CA License Number RN131557

Other Languages RUSSIAN

National Provider ID 1972660017

Accepting New Patients Yes. Referral may be required.

(707) 703-3258

Certification Number

JUDITH SITZMAN -PRIVATE PRACTICE-

SONOMA SMITH, MARY

1160 N DUTTON AVE, STE 230

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number MFC46384

Other Languages

National Provider ID 1851536452

Accepting New Patients Yes. Referral may be required.

(707) 526-8300

Certification Number

MARY SMITH -PRIVATE PRACTICE-

SONOMA SOWERBY, PRIYA

1301 REDWOOD WAY

PETALUMA, CA 94954

Marriage and Family Therapist

CA License Number MFC38354

Other Languages

National Provider ID 1679584965

Accepting New Patients Yes. Referral may be required.

(707) 303-3240

Certification Number

PRIYA SOWERBY -PRIVATE PRACTICE-

SONOMA STONE, JEFFREY

5880 COMMERCE BLVD, STE 204

ROHNERT PARK, CA 94928

Marriage and Family Therapist

CA License Number M717605

Other Languages

National Provider ID 1033300587

Accepting New Patients Yes. Referral may be required.

(707) 585-8011

Certification Number

JEFFREY STONE -PRIVATE PRACTICE-

Page 373 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA SWEENEY, ROBIN

7765 HEALDSBURG AVE

SEBASTOPOL, CA 95472

Marriage and Family Therapist

CA License Number MFT83967

Other Languages

National Provider ID 1356590376

Accepting New Patients Yes. Referral may be required.

(925) 322-7187

Certification Number

ROBIN SWEENEY -PRIVATE PRACTICE-

SONOMA TAYLOR, HEATHER

621 CHERRY ST,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number MFC23358

Other Languages

National Provider ID 1346378155

Accepting New Patients Yes. Referral may be required.

(707) 547-0195

Certification Number

HEATHER TAYLOR -PRIVATE PRACTICE-

SONOMA TIERNEY, LORIN

2635 CLEVELAND AVE, STE 10

SANTA ROSA, CA 95403

Marriage and Family Therapist

CA License Number MFC42571

Other Languages

National Provider ID 1023100583

Accepting New Patients Yes. Referral may be required.

(916) 505-5053

Certification Number

LORIN TIERNEY -PRIVATE PRACTICE-

SONOMA TOMPKINS, JOANIE

1160 N DUTTON AVE, STE 230

SANTA ROSA, CA 95401

Marriage and Family Therapist

CA License Number 46698

Other Languages

National Provider ID 1689722977

Accepting New Patients Yes. Referral may be required.

(707) 526-8300

Certification Number

JOANIE TOMPKINS -PRIVATE PRACTICE-

SONOMA TRAVISS, PATRICK

2455 BENNETT VALLEY RD, STE 208 B

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number LCSW4035

Other Languages

National Provider ID 1073660973

Accepting New Patients Yes. Referral may be required.

(707) 526-2595

Certification Number

PATRICK TRAVISS -PRIVATE PRACTICE-

SONOMA TRAVISS, SANDRA

2455 BENNETT VALLEY RD, STE 208 B

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number LCS5260

Other Languages

National Provider ID 1881744266

Accepting New Patients Yes. Referral may be required.

(707) 526-2595

Certification Number

SANDRA TRAVISS -PRIVATE PRACTICE-

Page 374 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA TREVINO, ESTHER

620 BROADWAY,

SONOMA, CA 95476

Marriage and Family Therapist

CA License Number MFC18107

Other Languages SPANISH

National Provider ID 1528051489

Accepting New Patients Yes. Referral may be required.

(408) 896-4585

Certification Number

ESTHER TREVINO -PRIVATE PRACTICE-

SONOMA TREVOLEDES, PATRICE

405 CHINN ST, STE 101

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 40706

Other Languages

National Provider ID 1396863270

Accepting New Patients Yes. Referral may be required.

(707) 523-1780

Certification Number

PATRICE TREVOLEDES -PRIVATE PRACTICE

SONOMA TRUE-SAMSON, KAREN

722 SPRING ST

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number LCS6956

Other Languages

National Provider ID 1497883516

Accepting New Patients Yes. Referral may be required.

(707) 528-0953

Certification Number

KAREN TRUE-SAMSON -PRIVATE PRACTICE-

SONOMA VAN BUUREN, GAIL

1200 COLLEGE AVE,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 40081

Other Languages

National Provider ID 1194167742

Accepting New Patients Yes. Referral may be required.

(707) 568-2302

Certification Number

GAIL VAN BUUREN -PRIVATE PRACTICE-

SONOMA VAN WINKLE, VICKI

8297 OLD REDWOOD HWY,

COTATI, CA 94931

Marriage and Family Therapist

CA License Number MFC33478

Other Languages

National Provider ID 1932209913

Accepting New Patients Yes. Referral may be required.

(707) 338-6177

Certification Number

VICKI VAN WINKLE, MFT

SONOMA VIDANO, CLAUDIA

2455 BENNETT VALLEY RD, STE C210

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 24182

Other Languages

National Provider ID 1316317720

Accepting New Patients Yes. Referral may be required.

(707) 523-8009

Certification Number

CLAUDIA VIDANO -PRIVATE PRACTICE-

Page 375 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA WAKEFIELD, PHYLIS

1151 BROADWAY, STE 202

SONOMA, CA 95476

Psychologist

CA License Number 14649

Other Languages

National Provider ID 1811047780

Accepting New Patients Yes. Referral may be required.

(707) 222-6242

Certification Number

PHYLIS WAKEFIELD -PRIVATE PRACTICE-

SONOMA WALLACH, DONALD

1023 COLLEGE AVE,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number LPCC577

Other Languages

National Provider ID 1902844244

Accepting New Patients Yes. Referral may be required.

(707) 583-2305

Certification Number

DONALD WALLACH -PRIVATE PRACTICE-

SONOMA WALSH, LINDA

1200 COLLEGE AVE,

SANTA ROSA, CA 95404

Marriage and Family Therapist

CA License Number 38717

Other Languages

National Provider ID 1801114053

Accepting New Patients Yes. Referral may be required.

(707) 568-2302

Certification Number

LINDA WALSH -PRIVATE PRACTICE-

SONOMA WARWICK-SMITH, KATHLEEN

18340 SONOMA HWY,

SONOMA, CA 95476

Marriage and Family Therapist

CA License Number MFC40025

Other Languages

National Provider ID 1053328104

Accepting New Patients Yes. Referral may be required.

(707) 996-4416

Certification Number

KATHLEEN WARWICK-SMITH -PRIVATE PRA

SONOMA WATERHOUSE, GARET

1030 2ND ST, STE 3

SANTA ROSA, CA 95404

Licensed Clinical Social Worker

CA License Number 24560

Other Languages

National Provider ID 1447425913

Accepting New Patients Yes. Referral may be required.

(707) 813-7198

Certification Number

GARET WATERHOUSE -PRIVATE PRACTICE-

SONOMA WILLIAMSON, ANDREA

7772 WASHINGTON AVE,

SEBASTOPOL, CA 95472

Marriage and Family Therapist

CA License Number MFC36335

Other Languages

National Provider ID 1568671881

Accepting New Patients Yes. Referral may be required.

(707) 824-1460

Certification Number

ANDREA WILLIAMSON -PRIVATE PRACTICE-

Page 376 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SONOMA WOLZ, BIRGIT

3886 DEER MEADOW LN,

OCCIDENTAL, CA 95465

Marriage and Family Therapist

CA License Number MFC32637

Other Languages GERMAN

National Provider ID 1366519407

Accepting New Patients Yes. Referral may be required.

(707) 533-7981

Certification Number

BIRGIT WOLZ -PRIVATE PRACTICE-

SONOMA YARDLEY, PATRICIA

315 E COTATI AVE, STE G

COTATI, CA 94931

Licensed Clinical Social Worker

CA License Number LCS18125

Other Languages

National Provider ID 1124171186

Accepting New Patients Yes. Referral may be required.

(707) 322-8528

Certification Number

PATRICIA YARDLEY -PRIVATE PRACTICE-

SONOMA ZELIKMAN, INNA

480 TESCONI CIR, STE B

SANTA ROSA, CA 95401

Professional Clinical Counselor

CA License Number NP13558

Other Languages RUSSIAN

National Provider ID 1740585314

Accepting New Patients Yes. Referral may be required.

(707) 206-7268

Certification Number

INNA ZELIKMAN -PRIVATE PRACTICE-

SONOMA ZIMMER, RICHARD

1144 SONOMA AVE, STE 117

SANTA ROSA, CA 95405

Psychologist

CA License Number PSY14079

Other Languages

National Provider ID 1609825868

Accepting New Patients Yes. Referral may be required.

(707) 526-7720

Certification Number

RICHARD ZIMMER -PRIVATE PRACTICE-

STANISLAUS ABBOTT, JEANNE

3300 TULLY RD, STE C1

MODESTO, CA 95350

Licensed Clinical Social Worker

CA License Number LCS00009642

Other Languages

National Provider ID 1780786939

Accepting New Patients Yes. Referral may be required.

(209) 529-2084

Certification Number

JEANNE ABBOTT LCSW

STANISLAUS BAKER, ARTHUR

1600 SUNRISE AVE, STE 7B

MODESTO, CA 95350

Marriage and Family Therapist

CA License Number MFC35749

Other Languages

National Provider ID 1982613501

Accepting New Patients Yes. Referral may be required.

(209) 598-6852

Certification Number

ARTHUR BAKER -PRIVATE PRACTICE-

Page 377 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

STANISLAUS BLACK, ERIN

426 14TH ST, STE 119

MODESTO, CA 95354

Licensed Clinical Social Worker

CA License Number LCS69762

Other Languages

National Provider ID 1700156007

Accepting New Patients Yes. Referral may be required.

(209) 222-8515

Certification Number

ERIN BLACK -PRIVATE PRACTICE-

STANISLAUS BUSIC, JANET

7248 GOLD RUN DR,

OAKDALE, CA 95361

Marriage and Family Therapist

CA License Number MFC32784

Other Languages SPANISH

National Provider ID 1750395042

Accepting New Patients Yes. Referral may be required.

(209) 847-9326

Certification Number

JANET BUSIC -PRIVATE PRACTICE-

STANISLAUS COWAN, SUSAN

112 E FAIRMONT AVE, STE B

MODESTO, CA 95354

Marriage and Family Therapist

CA License Number MFT44214

Other Languages

National Provider ID 1932230059

Accepting New Patients Yes. Referral may be required.

(209) 602-2067

Certification Number

SUSAN COWAN -PRIVATE PRACTICE-

STANISLAUS GALVEZ-BUCCOLLINI, JUAN

3501 COFFEE RD, STE 7

MODESTO, CA 95355

Psychiatrist

CA License Number A118972

Other Languages

National Provider ID 1164673455

Accepting New Patients Yes. Referral may be required.

(209) 676-3069

Certification Number

COMMUNITY PSYCHIATRY ASSOCIATE

STANISLAUS HOUSTON, SAMUEL

111 WRIGHT ST,

MODESTO, CA 95354

Marriage and Family Therapist

CA License Number MFC31930

Other Languages

National Provider ID 1710994868

Accepting New Patients Yes. Referral may be required.

(209) 579-0605

Certification Number

SAMUEL HOUSTON -PRIVATE PRACTICE-

STANISLAUS HOWARD, JANE

1115 14TH ST,

MODESTO, CA 95354

Psychologist

CA License Number PSY14430

Other Languages SPANISH

National Provider ID 1427349646

Accepting New Patients Yes. Referral may be required.

(209) 572-2589

Certification Number

JANE HOWARD -PRIVATE PRACTICE-

Page 378 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

STANISLAUS MALEK MORENO, DINA

531 E OLIVE AVE,

TURLOCK, CA 95380

Licensed Clinical Social Worker

CA License Number 21883

Other Languages FARSI

National Provider ID 1407982655

Accepting New Patients Yes. Referral may be required.

(209) 574-1030

Certification Number

DINA MALEK MORENO -PRIVATE PRACTICE-

STANISLAUS MARTINEZ, RICHARD

121 DOWNEY AVE, STE 211C

MODESTO, CA 95354

Licensed Clinical Social Worker

CA License Number LCS14424

Other Languages SPANISH

National Provider ID 1487665923

Accepting New Patients Yes. Referral may be required.

(209) 573-7909

Certification Number

RICHARD MARTINEZ LCSW

STANISLAUS MORGAN, ROBERT

2030 COFFEE RD, STE C1

MODESTO, CA 95355

Psychologist

CA License Number PSY6097

Other Languages

National Provider ID 1831150192

Accepting New Patients Yes. Referral may be required.

(209) 572-3464

Certification Number

ROBERT MORGAN -PRIVATE PRACTICE-

STANISLAUS NORTON, SABRINA

1317 OAKDALE RD, STE 1110

MODESTO, CA 95355

Marriage and Family Therapist

CA License Number LMFT78883

Other Languages

National Provider ID 1639203425

Accepting New Patients Yes. Referral may be required.

(209) 410-8155

Certification Number

SABRINA NORTON -PRIVATE PRACTICE-

STANISLAUS ODOM, SHARON

1601 I ST, STE 320

MODESTO, CA 95354

Marriage and Family Therapist

CA License Number MFC42146

Other Languages

National Provider ID 1740469626

Accepting New Patients Yes. Referral may be required.

(209) 450-6245

Certification Number

SHARON ODOM -PRIVATE PRACTICE-

STANISLAUS PEHLE, JOHN

1024 J ST, STE 412

MODESTO, CA 95354

Psychologist

CA License Number 5304

Other Languages

National Provider ID 1487680641

Accepting New Patients Yes. Referral may be required.

(209) 577-1159

Certification Number

JOHN PEHLE -PRIVATE PRACTICE-

Page 379 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

STANISLAUS PURGA, JOSHUA

430 CRANE AVE, STE 109

TURLOCK, CA 95380

Psychologist

CA License Number 20453

Other Languages

National Provider ID 1710175716

Accepting New Patients Yes. Referral may be required.

(714) 292-3153

Certification Number

THE PURGA GROUP

STANISLAUS TUGGLE, CHARLES

603 W F ST,

OAKDALE, CA 95361

Marriage and Family Therapist

CA License Number LMFC29317

Other Languages

National Provider ID 1932128675

Accepting New Patients Yes. Referral may be required.

(209) 404-0134

Certification Number

C BARRY TUGGLE LMFT

STANISLAUS WOOD, CHARLES

1101 STANDIFORD AVE, STE B4

MODESTO, CA 95350

Licensed Clinical Social Worker

CA License Number LCS10010

Other Languages

National Provider ID 1588707087

Accepting New Patients Yes. Referral may be required.

(209) 526-6325

Certification Number

COUNSELING CONNECTION

STANISLAUS YOST, JOHN

615 15TH ST,

MODESTO, CA 95354

Licensed Clinical Social Worker

CA License Number LCS0827

Other Languages

National Provider ID 1932291192

Accepting New Patients Yes. Referral may be required.

(209) 883-2947

Certification Number

JOHN W YOST LCSW

STANISLAUS YOST, JOHN

603 W F ST,

OAKDALE, CA 95361

Licensed Clinical Social Worker

CA License Number LCS0827

Other Languages

National Provider ID 1932291192

Accepting New Patients Yes. Referral may be required.

(209) 883-2947

Certification Number

JOHN W YOST LCSW

SUTTER FISCHER, STEPHANIE

1585 BUTTE HOUSE RD, STE C

YUBA CITY, CA 95993

Marriage and Family Therapist

CA License Number 49418

Other Languages

National Provider ID 1639347867

Accepting New Patients Yes. Referral may be required.

(530) 671-5483

Certification Number

STEPHANIE FISCHER -PRIVATE PRACTICE-

Page 380 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

SUTTER JONES, SUSAN

1445 BUTTE HOUSE RD, STE J

YUBA CITY, CA 95993

Licensed Clinical Social Worker

CA License Number LSW17627

Other Languages

National Provider ID 1275616559

Accepting New Patients Yes. Referral may be required.

(530) 671-5857

Certification Number

SUSAN B JONES LCSW

SUTTER NUNES, JEAN

438 COLUSA AVE, STE F

YUBA CITY, CA 95991

Licensed Clinical Social Worker

CA License Number 19222

Other Languages

National Provider ID 1104950120

Accepting New Patients Yes. Referral may be required.

(530) 755-1766

Certification Number

JEAN NUNES -PRIVATE PRACTICE-

SUTTER SAHLY, GARY

1133 GRAY AVE, STE B

YUBA CITY, CA 95991

Marriage and Family Therapist

CA License Number MFC14265

Other Languages

National Provider ID 1982628863

Accepting New Patients Yes. Referral may be required.

(530) 300-1778

Certification Number

GARY SAHLY -PRIVATE PRACTICE-

SUTTER THAUBERGER, GERALD

1095 STAFFORD WAY, STE E

YUBA CITY, CA 95991

Marriage and Family Therapist

CA License Number MFC00033242

Other Languages

National Provider ID 1255353793

Accepting New Patients Yes. Referral may be required.

(530) 615-4570

Certification Number

GERALD THAUBERGER -PRIVATE PRACTICE

SUTTER WEST, CRAIG

1445 BUTTE HOUSE RD, STE F

YUBA CITY, CA 95993

Psychologist

CA License Number PSY00017789

Other Languages

National Provider ID 1871529610

Accepting New Patients Yes. Referral may be required.

(530) 751-1122

Certification Number

PSYCHWEST CLINICAL & FORENSIC

TULARE ATWAL, SATNAM

246 W CALDWELL AVE,

VISALIA, CA 93277

Psychiatrist

CA License Number 45196

Other Languages PANJABI

National Provider ID 1528121852

Accepting New Patients Yes. Referral may be required.

(559) 713-6083

Certification Number

SATNAM ATWAL -PRIVATE PRACTICE-

Page 381 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

TULARE BALL, DAVID

3916 W CALDWELL AVE,

VISALIA, CA 93277

Marriage and Family Therapist

CA License Number MFC34591

Other Languages

National Provider ID 1619944246

Accepting New Patients Yes. Referral may be required.

(559) 907-3960

Certification Number

DAVID BALL -PRIVATE PRACTICE-

TULARE BENNETT, PAUL

15021 OAK RANCH DR,

VISALIA, CA 93292

Licensed Clinical Social Worker

CA License Number LCS5027

Other Languages

National Provider ID 1831265388

Accepting New Patients Yes. Referral may be required.

(559) 972-6210

Certification Number

PAUL C BENNETT LCSW

TULARE BENNETT, SANDRA

15021 OAK RANCH DR,

VISALIA, CA 93292

Licensed Clinical Social Worker

CA License Number LCSW5749

Other Languages

National Provider ID 1811063365

Accepting New Patients Yes. Referral may be required.

(559) 972-6210

Certification Number

SANDRA T BENNETT LCSW

TULARE CONFINO, JULES

1920 W PRINCETON AVE, STE 21

VISALIA, CA 93277

Marriage and Family Therapist

CA License Number MFC15192

Other Languages

National Provider ID 1154403897

Accepting New Patients Yes. Referral may be required.

(559) 435-6861

Certification Number

JULES CONFINO -PRIVATE PRACTICE-

TULARE DOUGLASS, CHARLES

4126 S DEMAREE ST, STE B

VISALIA, CA 93277

Licensed Clinical Social Worker

CA License Number LCSW7807

Other Languages

National Provider ID 1730298944

Accepting New Patients Yes. Referral may be required.

(559) 746-6308

Certification Number

CHARLES DOUGLASS -PRIVATE PRACTICE-

TULARE ESPALIN, ELENA

4134 S DEMAREE ST, STE C

VISALIA, CA 93277

Licensed Clinical Social Worker

CA License Number LCS23837

Other Languages

National Provider ID 1083833198

Accepting New Patients Yes. Referral may be required.

(559) 623-3300

Certification Number

ELENA ESPALIN -PRIVATE PRACTICE-

Page 382 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

TULARE GESHURI, YOSEF

177 N VILLA ST,

PORTERVILLE, CA 93257

Psychologist

CA License Number PSY6677

Other Languages HEBREW

National Provider ID 1598870875

Accepting New Patients Yes. Referral may be required.

(559) 782-1000

Certification Number

CENTER FOR HEALTH AND BEHAVIOR

TULARE GONZALES, LYNN

1214 W MAIN ST,

VISALIA, CA 93291

Licensed Clinical Social Worker

CA License Number LCS2218

Other Languages

National Provider ID 1396891784

Accepting New Patients Yes. Referral may be required.

(559) 713-1722

Certification Number

LYNN GONZALES -PRIVATE PRACTICE-

TULARE HOLFORD, DANIEL

4034 S DEMAREE ST,

VISALIA, CA 93277

Marriage and Family Therapist

CA License Number MFT22253

Other Languages

National Provider ID 1174542690

Accepting New Patients Yes. Referral may be required.

(559) 738-0700

Certification Number

TRINITY MINISTRIES GROUP INC

TULARE HURT, PATRICIA

113 N CHURCH ST, SUITE 418

VISALIA, CA 93291

Licensed Clinical Social Worker

CA License Number LCS17080

Other Languages

National Provider ID 1598744237

Accepting New Patients Yes. Referral may be required.

(559) 662-0620

Certification Number

PATRICIA HURT -PRIVATE PRACTICE-

TULARE KAMBOURIAN, DEBRA

4126 S DEMAREE ST, STE A

VISALIA, CA 93277

Marriage and Family Therapist

CA License Number MFC49437

Other Languages

National Provider ID 1679755201

Accepting New Patients Yes. Referral may be required.

(559) 737-1075

Certification Number

DEBRA KAMBOURIAN -PRIVATE PRACTICE-

TULARE LOPEZ, LETICIA

734 W OAK AVE,

VISALIA, CA 93291

Marriage and Family Therapist

CA License Number MFC43690

Other Languages SPANISH

National Provider ID 1003930900

Accepting New Patients Yes. Referral may be required.

(559) 429-8928

Certification Number

LETICIA LOPEZ -PRIVATE PRACTICE-

Page 383 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

TULARE MARTINEZ, GABRIELA

734 W OAK AVE,

VISALIA, CA 93291

Marriage and Family Therapist

CA License Number MFC45159

Other Languages SPANISH

National Provider ID 1770607368

Accepting New Patients Yes. Referral may be required.

(559) 402-3471

Certification Number

GABRIELA MARTINEZ -PRIVATE PRACTICE-

TULARE MILLER, LISA

1212 W MAIN ST,

VISALIA, CA 93291

Psychologist

CA License Number PSY13247

Other Languages

National Provider ID 1508869959

Accepting New Patients Yes. Referral may be required.

(559) 738-0644

Certification Number

LISA A MILLER PHD

TULARE MITTMAN, KATHLEEN

4034 S DEMAREE ST,

VISALIA, CA 93277

Marriage and Family Therapist

CA License Number 43815

Other Languages

National Provider ID 1275756520

Accepting New Patients Yes. Referral may be required.

(559) 738-0700

Certification Number

TRINITY MINISTRIES GROUP INC

TULARE OLIVEIRA, BONNIE

2313 S REDWOOD DR,

VISALIA, CA 93277

Licensed Clinical Social Worker

CA License Number LCS7935

Other Languages

National Provider ID 1619947389

Accepting New Patients Yes. Referral may be required.

(559) 734-0871

Certification Number

BONNIE OLIVEIRA -PRIVATE PRACTICE-

TULARE ORTIZ-NANCE, EDWYN

1810 S CENTRAL ST,

VISALIA, CA 93277

Psychologist

CA License Number 18170

Other Languages

National Provider ID 1467625368

Accepting New Patients Yes. Referral may be required.

(559) 635-4252

Certification Number

EDWYN ORTIZ-NANCE -PRIVATE PRACTICE-

TULARE PALMER, VAN

1910 S COURT ST,

VISALIA, CA 93277

Licensed Clinical Social Worker

CA License Number LCS17048

Other Languages AFRICAN SPANISH

National Provider ID 1245317817

Accepting New Patients Yes. Referral may be required.

(559) 627-3775

Certification Number

VAN S PALMER

Page 384 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

TULARE RICHARDS JR, DAVID

1212 W MAIN ST,

VISALIA, CA 93291

Licensed Clinical Social Worker

CA License Number LCS20458

Other Languages

National Provider ID 1427125715

Accepting New Patients Yes. Referral may be required.

(559) 738-0644

Certification Number

DAVID RICHARDS LCSW

TULARE RUBIO, ROSE

216 E PINE ST,

EXETER, CA 93221

Marriage and Family Therapist

CA License Number MFC41158

Other Languages SPANISH

National Provider ID 1073700894

Accepting New Patients Yes. Referral may be required.

(559) 802-2674

Certification Number

ROSE RUBIO -PRIVATE PRACTICE-

TULARE RUBIO, ROSE

734 W OAK,

VISALIA, CA 93290

Marriage and Family Therapist

CA License Number MFC41158

Other Languages SPANISH

National Provider ID 1073700894

Accepting New Patients Yes. Referral may be required.

(559) 802-2674

Certification Number

ROSE RUBIO -PRIVATE PRACTICE-

TULARE WEINTZ, DONALD

4034 S DEMAREE ST,

VISALIA, CA 93277

Marriage and Family Therapist

CA License Number 38188

Other Languages

National Provider ID 1912914961

Accepting New Patients Yes. Referral may be required.

(559) 738-0700

Certification Number

TRINITY MINISTRIES GROUP INC

TULARE ZIMMERMAN, LANCE

4126 S DEMAREE ST, STE B

VISALIA, CA 93277

Psychologist

CA License Number PSY27555

Other Languages

National Provider ID 1104861152

Accepting New Patients Yes. Referral may be required.

(559) 393-7465

Certification Number

LANCE ZIMMERMAN -PRIVATE PRACTICE-

YOLO BLUM, JUDITH

1627 OAK AVE, STE A

DAVIS, CA 95616

Marriage and Family Therapist

CA License Number MFC33487

Other Languages

National Provider ID 1306849930

Accepting New Patients Yes. Referral may be required.

(530) 756-0555

Certification Number

JUDITH BLUM -PRIVATE PRACTICE-

Page 385 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

YOLO BORDEN, ERLENE

1403 5TH ST, STE B

DAVIS, CA 95616

Marriage and Family Therapist

CA License Number 45974

Other Languages

National Provider ID 1821148040

Accepting New Patients Yes. Referral may be required.

(916) 878-1900

Certification Number

ERLENE BORDEN -PRIVATE PRACTICE-

YOLO BRENNAN, CATHERINE

1712 PICASSO AVE, STE D

DAVIS, CA 95618

Psychiatrist

CA License Number G73257

Other Languages

National Provider ID 1346354990

Accepting New Patients Yes. Referral may be required.

(530) 297-7500

Certification Number

CATHERINE BRENNAN -PRIVATE PRACTICE-

YOLO BROADUS, KAREN

1207 FAIRCHILD CT,

WOODLAND, CA 95695

Marriage and Family Therapist

CA License Number MFT53698

Other Languages

National Provider ID 1952551954

Accepting New Patients Not accepting new patients.

(530) 668-2600

Certification Number

KAREN BROADUS -PRIVATE PRACTICE-

YOLO CAZARES, CLARA

445 1ST ST,

WOODLAND, CA 95695

Licensed Clinical Social Worker

CA License Number 64829

Other Languages

National Provider ID 1851550644

Accepting New Patients Yes. Referral may be required.

(530) 662-2211

Certification Number

CLARA CAZARES -PRIVATE PRACTICE-

YOLO CAZARES, CLARA

3050 BEACON BLVD, STE 101

WEST SACRAMENTO, CA 95691

Licensed Clinical Social Worker

CA License Number 64829

Other Languages

National Provider ID 1851550644

Accepting New Patients Yes. Referral may be required.

(530) 662-2211

Certification Number

CLARA CAZARES -PRIVATE PRACTICE-

YOLO COPELAND, PAUL

2945 RAMCO ST, STE 130

WEST SACRAMENTO, CA 95691

Psychiatrist

CA License Number 20A5642

Other Languages SPANISH

National Provider ID 1477667152

Accepting New Patients Yes. Referral may be required.

(916) 376-8416

Certification Number

PAUL COPELAND -PRIVATE PRACTICE-

Page 386 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

YOLO CORNELL, KAREN

715 6TH ST,

DAVIS, CA 95616

Marriage and Family Therapist

CA License Number MFT38242

Other Languages

National Provider ID 1821011859

Accepting New Patients Yes. Referral may be required.

(530) 383-1592

Certification Number

KAREN CORNELL -PRIVATE PRACTICE-

YOLO COX, PAUL

1712 PICASSO AVE, STE D

DAVIS, CA 95618

Psychiatrist

CA License Number G72748

Other Languages

National Provider ID 1790769834

Accepting New Patients Yes. Referral may be required.

(530) 297-7500

Certification Number

PAUL COX -PRIVATE PRACTICE-

YOLO DORNBUSH, EDIE

445 1ST ST,

WOODLAND, CA 95695

Marriage and Family Therapist

CA License Number 42866

Other Languages

National Provider ID 1720167786

Accepting New Patients Yes. Referral may be required.

(530) 662-2211

Certification Number

EDIE DORNBUSH -PRIVATE PRACTICE-

YOLO EVANS, MEGAN

719 2ND ST, STE 2

DAVIS, CA 95616

Marriage and Family Therapist

CA License Number MFC23917

Other Languages

National Provider ID 1659539815

Accepting New Patients Yes. Referral may be required.

(530) 219-9991

Certification Number

MEGAN EVANS -PRIVATE PRACTICE-

YOLO HOPP, KAREN

1207 FAIRCHILD CT,

WOODLAND, CA 95695

Psychiatrist

CA License Number A84575

Other Languages

National Provider ID 1831180975

Accepting New Patients Yes. Referral may be required.

(530) 668-2600

Certification Number

KAREN HOPP -PRIVATE PRACTICE-

YOLO JUNIA, ANA

1712 PICASSO AVE, STE D

DAVIS, CA 95618

Psychiatrist

CA License Number A109841

Other Languages

National Provider ID 1255580981

Accepting New Patients Yes. Referral may be required.

(530) 297-7500

Certification Number

ANA JUNIA -PRIVATE PRACTICE-

Page 387 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

YOLO KAUR, HARINDER

1100 MAIN ST, STE 265

WOODLAND, CA 95695

Psychiatrist

CA License Number A118479

Other Languages

National Provider ID 1467617639

Accepting New Patients Yes. Referral may be required.

(530) 666-9500

Certification Number

HARINDER KAUR -PRIVATE PRACTICE-

YOLO KNOLLER, BOBBE

604 3RD ST

DAVIS, CA 95616

Licensed Clinical Social Worker

CA License Number LCS13088

Other Languages

National Provider ID 1679630271

Accepting New Patients Yes. Referral may be required.

(530) 537-7206

Certification Number

BOBBE KNOLLER -PRIVATE PRACTICE-

YOLO KURTOVIC, KATIE

2055 ANDERSON RD,

DAVIS, CA 95616

Marriage and Family Therapist

CA License Number 36138

Other Languages

National Provider ID 1356589550

Accepting New Patients Yes. Referral may be required.

(530) 758-5900

Certification Number

KATIE KURTOVIC -PRIVATE PRACTICE-

YOLO LEDGERWOOD, AMY

1207 FAIRCHILD CT

WOODLAND, CA 95695

Psychiatrist

CA License Number G139586

Other Languages

National Provider ID 1679898175

Accepting New Patients Yes. Referral may be required.

(530) 668-2600

Certification Number

AMY LEDGERWOOD -PRIVATE PRACTICE-

YOLO MADAN, PAVAN

1712 PICASSO AVE, STE D

DAVIS, CA 95618

Psychiatrist

CA License Number FM5017137

Other Languages

National Provider ID 1922319573

Accepting New Patients Yes. Referral may be required.

(530) 297-7500

Certification Number

PAVAN MADAN -PRIVATE PRACTICE-

YOLO MADAN, PAVAN

1100 MAIN ST, STE 265

WOODLAND, CA 95695

Psychiatrist

CA License Number FM5017137

Other Languages

National Provider ID 1922319573

Accepting New Patients Yes. Referral may be required.

(530) 666-9500

Certification Number

COMMUNITY PSYCHIATRY ASSO/DAVI

Page 388 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

YOLO MCDONALD, COLLEEN

719 2ND ST, STE 19

DAVIS, CA 95616

Marriage and Family Therapist

CA License Number MFT25034

Other Languages

National Provider ID 1700165172

Accepting New Patients Yes. Referral may be required.

(530) 753-3867

Certification Number

COLLEEN MCDONALD -PRIVATE PRACTICE-

YOLO OAKLEY, DANIEL

2945 RAMCO ST, STE 160

WEST SACRAMENTO, CA 95691

Psychologist

CA License Number 23659

Other Languages

National Provider ID 1568742567

Accepting New Patients Yes. Referral may be required.

(916) 374-0800

Certification Number

DANIEL OAKLEY -PRIVATE PRACTICE-

YOLO PHILLIPS, BETTY

720 MAIN ST, STE B

WOODLAND, CA 95695

Psychologist

CA License Number PSY11250

Other Languages SPANISH

National Provider ID 1124048129

Accepting New Patients Yes. Referral may be required.

(530) 666-4245

Certification Number

BETTY PHILLIPS -PRIVATE PRACTICE-

YOLO PLUMMER, JERRY

2055 ANDERSON RD,

DAVIS, CA 95616

Licensed Clinical Social Worker

CA License Number LCS578

Other Languages

National Provider ID 1467455923

Accepting New Patients Yes. Referral may be required.

(530) 758-1580

Certification Number

JERRY PLUMMER -PRIVATE PRACTICE-

YOLO RANADE, RAJDEEP

1100 MAIN ST, STE 265

WOODLAND, CA 95695

Psychiatrist

CA License Number A105766

Other Languages

National Provider ID 1164614400

Accepting New Patients Yes. Referral may be required.

(530) 666-9500

Certification Number

COMMUNITY PSYCHIATRY ASSO/DAVI

YOLO SCHNABOLK, JAY

604 3RD ST,

DAVIS, CA 95616

Licensed Clinical Social Worker

CA License Number LCS18690

Other Languages

National Provider ID 1417004847

Accepting New Patients Yes. Referral may be required.

(530) 220-2632

Certification Number

JAY SCHNABOLK -PRIVATE PRACTICE-

Page 389 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

YOLO SHERMAN, ELANNA

551 VILLANOVA DR,

DAVIS, CA 95616

Marriage and Family Therapist

CA License Number MFC23194

Other Languages

National Provider ID 1649322827

Accepting New Patients Yes. Referral may be required.

(530) 753-6146

Certification Number

ELANNA PANTER SHERMAN MFT

YOLO SHERMAN, ELANNA

551 VILLANOVA DR,

DAVIS, CA 95616

Marriage and Family Therapist

CA License Number MFC23194

Other Languages

National Provider ID 1649322827

Accepting New Patients Yes. Referral may be required.

(530) 753-6146

Certification Number

ELANNA PANTER SHERMAN MFT

YOLO SINGH, AJAY

1712 PICASSO AVE, STE D

DAVIS, CA 95618

Psychiatrist

CA License Number A118490

Other Languages

National Provider ID 1689830408

Accepting New Patients Yes. Referral may be required.

(530) 297-7500

Certification Number

AJAY SINGH -PRIVATE PRACTICE-

YOLO SLATER, CAMILLIS

3050 BEACON BLVD, STE 101

WEST SACRAMENTO, CA 95691

Licensed Clinical Social Worker

CA License Number 11169

Other Languages

National Provider ID 1598145385

Accepting New Patients Yes. Referral may be required.

(530) 662-2211

Certification Number

CAMILLIS SLATER -PRIVATE PRACTICE-

YOLO SLATER, CAMILLIS

445 1ST ST,

WOODLAND, CA 95695

Licensed Clinical Social Worker

CA License Number 11169

Other Languages

National Provider ID 1598145385

Accepting New Patients Yes. Referral may be required.

(530) 662-2211

Certification Number

CAMILLIS SLATER -PRIVATE PRACTICE-

YOLO SPECTOR, KATHRYN

2657 PORTAGE BAY E, STE 3

DAVIS, CA 95616

Marriage and Family Therapist

CA License Number MFC42035

Other Languages

National Provider ID 1104832120

Accepting New Patients Yes. Referral may be required.

(530) 759-1929

Certification Number

KATHRYN SPECTOR -PRIVATE PRACTICE-

Page 390 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017

County Office or Practice Name/Phone Provider DetailsName/Specialty

Northern California Contracted Outpatient Behavioral Health Services Provided by Beacon Health Options (formerly ValueOptions)

YOLO SPOTH, EILEEN

719 2ND ST, STE 18

DAVIS, CA 95616

Licensed Clinical Social Worker

CA License Number 46851

Other Languages

National Provider ID 1912086562

Accepting New Patients Yes. Referral may be required.

(530) 662-2211

Certification Number

EILEEN SPOTH -PRIVATE PRACTICE-

YOLO SPOTH, EILEEN

445 1ST ST,

WOODLAND, CA 95695

Licensed Clinical Social Worker

CA License Number 46851

Other Languages

National Provider ID 1912086562

Accepting New Patients Yes. Referral may be required.

(530) 662-2211

Certification Number

EILEEN SPOTH -PRIVATE PRACTICE-

YOLO THOMSON, CAPTANE

44 COLLEGE PARK,

DAVIS, CA 95616

Psychiatrist

CA License Number A17091

Other Languages

National Provider ID 1720137797

Accepting New Patients Yes. Referral may be required.

(530) 753-7223

Certification Number

CAPTANE THOMSON -PRIVATE PRACTICE-

YOLO YANG, CYNTHIA

2055 ANDERSON RD,

DAVIS, CA 95616

Licensed Clinical Social Worker

CA License Number LCS21190

Other Languages SPANISH

National Provider ID 1689726796

Accepting New Patients Yes. Referral may be required.

(530) 304-8662

Certification Number

CYNTHIA YANG LCSW

YUBA DAVENPORT, STACY

500 OLIVE ST, STE 5

MARYSVILLE, CA 95901

Licensed Clinical Social Worker

CA License Number 23732

Other Languages

National Provider ID 1275628893

Accepting New Patients Yes. Referral may be required.

(916) 316-5041

Certification Number

STACY DAVENPORT -PRIVATE PRACTICE-

YUBA KARR, RODNEY

528 8TH ST,

MARYSVILLE, CA 95901

Psychologist

CA License Number PSY6906

Other Languages

National Provider ID 1669499273

Accepting New Patients Yes. Referral may be required.

(415) 931-1934

Certification Number

RODNEY KARR -PRIVATE PRACTICE-

Page 391 of 391

The information in this directory is updated periodically in our attempt to provide you with reliable and current information. The availability of physicians, hospitals, providers, and services may change. This directory is not a guarantee of coverage. Please check with your Benefits Coordinator, Evidence of Coverage, or call Member Services at 1-800-464-4000 (toll free) or 711 (TTY for the hearing/speech impaired) to determine whether you have covered benefits. A referral may be required for some providers.

10/1/2017