Active NPI
Tamba Maurice McCarthy, PSYCH TECH
- Licensed Psychiatric Technician
- Placerville, CA
National Provider Identifier
1386360584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- Practice address
- 935 Spring St # B
Placerville, CA 95667-4543 - Phone
- (530) 621-6213
- NPI assigned
- Oct 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | Primary |
Addresses
Primary practice location
935 Spring St # B
Placerville, CA 95667-4543
Mailing address
9236 Trout Way
Elk Grove, CA 95624-4900
Phone (408) 420-9517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Dorado County Health and Human Services Agency | Past | Accepting new patients | |
| El Dorado County Office Health & Human Services Agency | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1306185830
-
- Psychiatric Hospital
- Placerville, CA
- NPI 1144667775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1386360584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9236 TROUT WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956244900",
"telephone_number": "408-420-9517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 SPRING ST # B",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674543",
"telephone_number": "530-621-6213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "TAMBA",
"middle_name": "MAURICE",
"credential": "PSYCH TECH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.