Provider Demographics
NPI:1861650657
Name:COUNSELING AND PSYCHOLOGICAL SERVICES (CAPS
Entity Type:Organization
Organization Name:COUNSELING AND PSYCHOLOGICAL SERVICES (CAPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:DOWNEY
Authorized Official - Last Name:ELMORE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:530-752-0871
Mailing Address - Street 1:1 SHIELDS AVE
Mailing Address - Street 2:219 NORTH HALL
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-5270
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 SHIELDS AVE
Practice Address - Street 2:219 NORTH HALL
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-5270
Practice Address - Country:US
Practice Address - Phone:530-752-9923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21721103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty