Organization Active NPI

Mounir Belcadi, MD

  • Psychiatry Physician
  • Santa Rosa, CA
National Provider Identifier
1043416670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A93642 Issued in CA
Legal business name
MOUNIR BELCADI, MD
Practice address
3452 Mendocino Ave
Suite C
Santa Rosa, CA 95403-2221
Phone
(707) 579-8703
Fax
(707) 579-8755
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mounir Belcadi, MDNPI 1053341073
Title
Psychiatrist
Phone
(707) 579-8703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A93642 CA Primary

Addresses

Primary practice location

3452 Mendocino Ave
Suite C
Santa Rosa, CA 95403-2221

Mailing address

3452 Mendocino Ave
Suite C
Santa Rosa, CA 95403-2221
Phone (707) 579-8703

National Provider Directory

National Provider Directory

Locations

3452 Mendocino Ave
Ste C
Santa Rosa, CA 95403
Phone (707) 542-4502

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043416670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 MENDOCINO AVE",
            "address_2": "SUITE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032221",
            "telephone_number": "707-579-8703",
            "fax_number": "707-579-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 MENDOCINO AVE",
            "address_2": "SUITE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032221",
            "telephone_number": "707-579-8703",
            "fax_number": "707-579-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNIR BELCADI, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELCADI",
        "authorized_official_first_name": "MOUNIR",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "707-579-8703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A93642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.