Psychologist | Clinical Psychology | 10+ years experience

Mr. Emilio Licea Iii, PSYD

652 Petaluma Ave, Sebastopol, California, 95472-4256

About Mr. Emilio Licea Iii

Mr. Emilio Licea Iii is a psychologist based in Sebastopol, California with 10 years of experience in Clinical Psychology. He completed his graduation in 2016. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Emilio Licea Iii is PSY29447 for Clinical Psychology in California. His current practice location is 652 Petaluma Ave, Sebastopol. Patients can contact him at 707-823-3166 or can fax him at 707-869-8170. Mr. Emilio Licea Iii, PSYD, specializes in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1336496710.

Mr. Emilio Licea Iii is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.

Practice Information

Mr. Emilio Licea Iii's specialty, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.

Provider Name Mr. Emilio Licea Iii
Specialization Clinical Psychology
Credentials PSYD
Accepts Medicare Assignment Yes
Experience 10+ years
Graduation Year 2016
Gender Male
Practice Address: 652 Petaluma Ave,
Sebastopol, CA - 95472-4256
Fax 707-869-8170

Professional Identification Codes

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

PAC ID 2769893304
Enrollment ID I20201202003069
NPI Number1336496710
NPI Enumeration Date: 05 Aug, 2012
NPI Last Update On: 30 Dec, 2021

Medical Licenses:

Healthcare professionals can hold one or more medical licenses for different specialties in the same state or different states. Related medical licenses for Mr. Emilio Licea Iii are as mentioned below.

License NumberSpecializationStateStatus
PSY29447Clinical Psychology CaliforniaPrimary

Group Practice

Group practices are practice of medicine by a group of healthcare professionals who share their premises and other resources. Following list states all the group name with which Mr. Emilio Licea Iii is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Permanente Medical Group Inc (8921910225)7522

Mailing Address

Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.

Mr. Emilio Licea Iii
Po Box 1449,
Guerneville, CA - 95446-1449
Phone: 707-869-5977
Fax: 707-869-5976

Book an Appointment with Mr. Emilio Licea Iii

To schedule an appointment, contact Mr. Emilio Licea Iii at 652 Petaluma Ave, Sebastopol, California or call the phone number listed below.

Book an Appointment

Frequently Asked Questions

Below are some commonly asked questions about Mr. Emilio Licea Iii:

Mr. Emilio Licea Iii is a psychologist specializing in Clinical Psychology. He is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.

Mr. Emilio Licea Iii has approximately 10 years of experience in Clinical Psychology.

Yes, Mr. Emilio Licea Iii accepts Medicare assignment, meaning the provider participates in Medicare and accepts Medicare-approved amounts for eligible services.

Yes, Mr. Emilio Licea Iii is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment.
*Availability may change. Please contact the office directly to ask about appointments.

Mr. Emilio Licea Iii practices at 652 Petaluma Ave, Sebastopol, California, 95472-4256.

To schedule an appointment with Mr. Emilio Licea Iii, please contact the office at 707-823-3166.

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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.