Active NPI
Truist Medical & Behavioral Health Services, Inc
- Addiction Psychiatry Physician
- Sacramento, CA
National Provider Identifier
1124730031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jagdeep Kaur, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Sacramento, CA
- NPI 1467682260
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Stockton, CA
- NPI 1891518932
-
- Mental Health Counselor
- Colusa, CA
- NPI 1881927820
-
- Psychiatric/Mental Health Nurse Practitioner
- Panorama City, CA
- NPI 1386315729
-
- Pediatrics Physician
- Stockton, CA
- NPI 1629486618
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.