Individual provider Active NPI

Smita S Reddy

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1184887507
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C152910 Issued in CA
Practice address
2180 Harvard St Ste 210
Sacramento, CA 95815
Phone
(916) 567-3500
Fax
(916) 567-3501
NPI assigned
Jul 7, 2008
Last updated
Jun 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C152910 CA Primary

Addresses

Primary practice location

2180 Harvard St Ste 210
Sacramento, CA 95815

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180706002649 CA Practitioner - Psychiatry 4082897400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacramento Neuropsych Associates IncGroup PAC ID 3971970807, 8 clinicians

Practice addresses (Care Compare)

2150 E Bidwell St
Folsom, CA 95630-6453
Phone (916) 473-2235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine M.D. Professional Corporation Psychiatry Current Accepting new patients
Mark David Levine, M.D. Professional Corporation Psychiatry CurrentSince Jun 18, 2018 Accepting new patients
Sacramento Neuropsych Associates Inc Psychiatry CurrentSince Oct 16, 2024 Accepting new patients
Mark David Levine, MD Burlingame PC Psychiatry CurrentSince Jun 18, 2018 Accepting new patients

Locations

1590 Drew Ave
Ste 200
Davis, CA 95618
Phone (530) 297-7500

2150 E Bidwell St
Folsom, CA 95630
Phone (916) 473-2235

5800 Stanford Ranch Rd
Ste 720
Rocklin, CA 95765
Phone (916) 235-3935

1420 Rocky Ridge Dr
Ste 120
Roseville, CA 95661
Phone (916) 659-8225

2180 Harvard St
Ste 210
Sacramento, CA 95815
Phone (916) 567-3500

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1184887507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "916-576-7900",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 HARVARD ST STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95815",
            "telephone_number": "916-567-3500",
            "fax_number": "916-567-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SMITA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C152910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.