Provider Demographics
NPI:1053583351
Name:BACHELER, JANET RUTH (PHD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:RUTH
Last Name:BACHELER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1482
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95946-1482
Mailing Address - Country:US
Mailing Address - Phone:530-798-7979
Mailing Address - Fax:530-798-7979
Practice Address - Street 1:11246 PLEASANT VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:PENN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95946
Practice Address - Country:US
Practice Address - Phone:530-798-7979
Practice Address - Fax:530-798-7979
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14701103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPL147010Medicare UPIN