Organization Active NPI

Truist Medical & Behavioral Health Services, Inc

  • Addiction Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1124730031
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
TRUIST MEDICAL & BEHAVIORAL HEALTH SERVICES, INC
Practice address
8120 Timberlake Way Ste 210B
Sacramento, CA 95823-5414
Phone
(916) 917-7316
Fax
(866) 481-8756
NPI assigned
Dec 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Jagdeep Kaur, MDNPI 1467682260
Title
President
Phone
(916) 917-7316

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
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X Primary

Addresses

Primary practice location

8120 Timberlake Way Ste 210B
Sacramento, CA 95823-5414

Mailing address

6733 Pallazzo Way
Elk Grove, CA 95757-3034
Phone (916) 917-7316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230719000589 CA Part B Supplier - Clinic/Group Practice 6305206632 Receives reassigned benefits from 4 practitioners
Practice locations: Elk Grove, CA; Galt, CA; Sacramento, CA

National Provider Directory

National Provider Directory

Locations

8120 Timberlake Way
Ste 210B
Sacramento, CA 95823
Phone (916) 251-3058

Practitioners & affiliated clinicians

Practitioners 5

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": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1124730031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6733 PALLAZZO WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573034",
            "telephone_number": "916-917-7316",
            "fax_number": "866-481-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY STE 210B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235414",
            "telephone_number": "916-917-7316",
            "fax_number": "866-481-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUIST MEDICAL & BEHAVIORAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2024-07-18",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "JAGDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-917-7316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "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 Jul 18, 2024; 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.