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

Aspen Family Medical Group of Modesto, Inc

Organization Psychiatry Physician · NPI 1689458051

Aspen Family Medical Group of Modesto, Inc is a Psychiatry Physician in Modesto, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 Coffee Rd Ste 10
Modesto, CA 95355-4228
Phone: (559) 495-8659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1689458051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariela Gutierrez — Clinic Supervisor · (209) 522-9054
Other names Premium Mental Health Services
NPI enumeratedAugust 24, 2023
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address1130 Coffee Rd Ste 10, Modesto, CA 95355-4228

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