Organization Active NPI

General and Pain Psychiatry Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rancho Mirage, CA
National Provider Identifier
1245690668
Registry record updated Apr 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
A71514 Issued in CA
Legal business name
GENERAL AND PAIN PSYCHIATRY INC
Practice address
36101 Bob Hope Dr
Suite B-2
Rancho Mirage, CA 92270-2001
Phone
(619) 838-0519
NPI assigned
Feb 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2016

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

Authorized official

Name
Dr. John Robinson Keltner, MDNPI 1740447416
Title
President-Owner
Phone
(619) 838-0519

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X A71514 CA Primary
Medical Specialty Clinic/Center 261QM2500X A71514 CA

Addresses

Primary practice location

36101 Bob Hope Dr
Suite B-2
Rancho Mirage, CA 92270-2001

Mailing address

2730 Powhatan Ave
San Diego, CA 92117-2420
Phone (619) 838-0519

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160509001407 CA Part B Supplier - Clinic/Group Practice 4981903242 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Desert, CA

National Provider Directory

National Provider Directory

Locations

72650 Fred Waring Dr
Ste 211
Palm Desert, CA 92260
Phone (619) 838-0519

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": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461456000000",
    "number": "1245690668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 POWHATAN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172420",
            "telephone_number": "619-838-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR",
            "address_2": "SUITE B-2",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702001",
            "telephone_number": "619-838-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL AND PAIN PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-04-24",
        "status": "A",
        "authorized_official_last_name": "KELTNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBINSON",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "619-838-0519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "A71514",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A71514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.