Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Agave Medical Ny, PC

Organization Mental Health Counselor · NPI 1780403501

Agave Medical Ny, PC is a Mental Health Counselor in Madera, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16397 Road 37
Madera, CA 93636-8224
Phone: (510) 871-5025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X
Health Psychologist Taxonomy 103TH0004X
Social Worker Taxonomy 104100000X

Record details

NPI number1780403501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Scahill — Ceo · (929) 209-6109
NPI enumeratedOctober 8, 2024
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address359 5th St Unit 3, Jersey City, NJ 07302-2329

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