Sacramento Child and Adolescent Wellness Center Corp

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

A93664 Issued in CA

Legal business name

SACRAMENTO CHILD AND ADOLESCENT WELLNESS CENTER CORP

Practice address

2001 N St
Suite 100
Sacramento, CA 95811-4237

Phone

(916) 538-2477

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Rachael Smith, M.D.NPI 1447224449

Title

Owner

Phone

(916) 955-3149

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Rachael Smith, M.D.

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1447224449
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1184080681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 57TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172402",
            "telephone_number": "916-508-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N ST",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958114237",
            "telephone_number": "916-538-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO CHILD AND ADOLESCENT WELLNESS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-955-3149",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "A93664",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "A93664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacramento Based Adult Day Service Inc.
• Sacramento Behavioral Healthcare Hospital, LLC
• Sacramento Cardiovascular Surgeons Medical Group Inc
• Sacramento Center for Hematology & Medical Oncology
• Sacramento Charter High School
• Sacramento Child Psychiatry
• Sacramento Children;S Receiving Home
• Sacramento Children'S Home
• Sacramento Children'S Home
• Sacramento Children'S Home

• Adolescent and Children Mental Health Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.