Provider Demographics
NPI:1225797202
Name:MCCARTY, EEHAI SAESEE (PMHNP)
Entity Type:Individual
Prefix:
First Name:EEHAI
Middle Name:SAESEE
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5211 W GOSHEN AVE # 147
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-8619
Mailing Address - Country:US
Mailing Address - Phone:559-741-3666
Mailing Address - Fax:
Practice Address - Street 1:36650 ROAD 112
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-9517
Practice Address - Country:US
Practice Address - Phone:559-735-1342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-16
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4093-0363LP0808X
CA95019479363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health