| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JAMES MICHAEL ELLIOTT | 1033316732 | 2023-02-12 |
James Michael Elliott is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1033316732. Registration indicates James Michael Elliott is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers) (Other Service Providers, Case Manager/Care Coordinator) (Case Manager/Care Coordinator, ) (All Other Specialties & Provider Types, ) (Case Manager/Care Coordinator, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Mr. James Michael Elliott Jr. |
| Practice Office Address | 2150 STOCKTON BLVD SACRAMENTO, CA US |
| Practice Office Telephone | 9168751000 |
| Mailing Address | 2198 CAYUGA AVE SAN FRANCISCO, CA 941124023 US |
| Business Telephone | 4158595299 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 403 W Orange Ave | South San Francisco, CA 940804443 | 6507546245 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | |
| 101Y00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | |
| 171M00000X PRIMARY | Other Service Providers Case Manager/Care Coordinator Case Manager/Care Coordinator All Other Specialties & Provider Types Case Manager/Care Coordinator Other Service Providers |