Organization Active NPI

Psychiatric Care for Seniors

  • Geriatric Psychiatry Physician
  • Walnut Creek, CA
National Provider Identifier
1063926731
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
PSYCHIATRIC CARE FOR SENIORS
Practice address
110 La Casa Via Ste 205
Walnut Creek, CA 94598-3017
Phone
(925) 291-7295
Fax
(866) 284-3572
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Kulwinder Singh, MDNPI 1306872460
Title
President
Phone
(925) 291-7295

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
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X Primary

Addresses

Primary practice location

110 La Casa Via Ste 205
Walnut Creek, CA 94598-3017

Mailing address

4101 Dublin Blvd Ste F
Dublin, CA 94568-4603
Phone (925) 451-8599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180104001877 CA Part B Supplier - Clinic/Group Practice 1658630272 Receives reassigned benefits from 1 practitioner
Practice locations: Walnut Creek, CA

National Provider Directory

National Provider Directory

Locations

4101 Dublin Blvd
Ste F
Dublin, CA 94568
Phone (510) 255-1073

3011 Citrus Cir
Ste 101
Walnut Creek, CA 94598
Phone (925) 364-0082

3000 Citrus Cir
Ste 107
Walnut Creek, CA 94598
Phone (925) 364-0082

Practitioners & affiliated clinicians

Practitioners 1

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": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1063926731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 DUBLIN BLVD STE F",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945684603",
            "telephone_number": "925-451-8599",
            "fax_number": "866-284-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LA CASA VIA STE 205",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983017",
            "telephone_number": "925-291-7295",
            "fax_number": "866-284-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CARE FOR SENIORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KULWINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-291-7295",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.