Active NPI
Gowri Ramachandran
- Forensic Psychiatry Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- A166386
- Practice address
- 2230 Stockton Blvd
Sacramento, CA 95817-1353 - Phone
- (919) 656-2053
- NPI assigned
- Apr 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD045853 | DC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Forensic Psychiatry Physician | 2084F0202X | A166386 | CA | Primary |
Addresses
Primary practice location
2230 Stockton Blvd
Sacramento, CA 95817-1353
Mailing address
4117 Lathbury Landing Way
Cary, NC 27513-8349
Phone (919) 656-2053
Other practice location 1
2150 Pennsylvania Avenue, NW
The GW Medical Faculty Associates
Washington, DC 20037
Phone (202) 741-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX, CO, NH, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230206003033 | AK | Practitioner - Psychiatry | 8729322409 | Reassigns benefits to 1 organization |
| I20230415000143 | TX | Practitioner - Psychiatry | 8729322409 | Reassigns benefits to 1 organization |
| I20250714002418 | CO | Practitioner - Psychiatry | 8729322409 | Reassigns benefits to 1 organization |
| I20250729002174 | NH | Practitioner - Psychiatry | 8729322409 | Reassigns benefits to 1 organization |
| I20260424002716 | CA | Practitioner - Psychiatry | 8729322409 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mindcare Solutions PCMindcare Solutions PC of California
Practice addresses (Care Compare)
100 McGregor St
Manchester, NH 03102-3730
Phone (330) 536-3746
1501 S Potomac St
Aurora, CO 80012-5411
Phone (330) 536-3746
4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (330) 536-3746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A166386 | CA | MD | Forensic Psychiatry Physician |
| MD045853 | DC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native Village of Eyak | Current | Accepting new patients | |
| Mindcare Solutions PC | Psychiatry | Current | Accepting new patients |
| Mindcare Solutions, PC | Psychiatry | Current | Accepting new patients |
| Cordova Community Medical Center | Current | Accepting new patients | |
| Mindcare Solutions PC | Psychiatry | Current | Accepting new patients |
| Native Village of Eyak | Current | Accepting new patients |
Locations
1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/cordova-527880fe
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Indianapolis, IN
- NPI 1417784661
-
- Psychiatry Physician
- Ludlow, KY
- NPI 1386357770
-
- Clinic/Center
- Cordova, AK
- NPI 1134471287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1285089284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 LATHBURY LANDING WAY",
"city": "CARY",
"state": "NC",
"postal_code": "275138349",
"telephone_number": "919-656-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171353",
"telephone_number": "919-656-2053"
}
],
"practiceLocations": [
{
"address_1": "2150 Pennsylvania Avenue, NW",
"address_2": "The GW Medical Faculty Associates",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "20037",
"country_code": "US",
"telephone_number": "202-741-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMACHANDRAN",
"first_name": "GOWRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD045853",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CA",
"license": "A166386",
"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 Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.