Provider Demographics
NPI:1457237349
Name:PEARMAIN, PATRICK STEVEN
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:STEVEN
Last Name:PEARMAIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 LAKESHORE BLVD UNIT 4
Mailing Address - Street 2:
Mailing Address - City:LAKEPORT
Mailing Address - State:CA
Mailing Address - Zip Code:95453-6825
Mailing Address - Country:US
Mailing Address - Phone:707-391-2312
Mailing Address - Fax:
Practice Address - Street 1:14715 E STATE HWY 20
Practice Address - Street 2:
Practice Address - City:CLEARLAKE OAKS
Practice Address - State:CA
Practice Address - Zip Code:95423-8509
Practice Address - Country:US
Practice Address - Phone:707-998-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASUDRCI22315101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)