NPIMap

Organization Active NPI

Sacramento Child Psychiatry

  • Adolescent and Children Mental Health Clinic/Center
  • Sacramento, CA
National Provider Identifier
1043541014
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
A108395 Issued in CA
Legal business name
SACRAMENTO CHILD PSYCHIATRY
Practice address
1111 Exposition Blvd Ste 700
Suite 102
Sacramento, CA 95815-4335
Phone
(916) 580-5769
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Dr. Cindy Yaewon Thygeson, MD
Title
Ceo
Phone
(916) 580-5769

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X A108395 CA
Adolescent and Children Mental Health Clinic/Center 261QM0855X A108395 CA Primary

Addresses

Primary practice location

1111 Exposition Blvd Ste 700
Suite 102
Sacramento, CA 95815-4335

Mailing address

PO Box 15321
Sacramento, CA 95851-0321
Phone (916) 580-5769

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1043541014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15321",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958510321",
            "telephone_number": "916-580-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD STE 700",
            "address_2": "SUITE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154335",
            "telephone_number": "916-580-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO CHILD PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "THYGESON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "YAEWON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-580-5769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "A108395",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "A108395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.