Amita Upadhyay MD Inc.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

AMITA UPADHYAY MD INC.

Doing business as

Roseville Psychiatry

Practice address

508 Gibson Dr Ste 270
Roseville, CA 95678-5795

Phone

(916) 786-6727

Fax

(916) 786-6748

NPI assigned

Apr 23, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Amita Upadhyay, MD

Title

President

Phone

(916) 786-6727

Specialties & licenses 1

Addresses

Other names 1

• Roseville Psychiatry Doing business as

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1396309639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GIBSON DR STE 270",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785795",
            "telephone_number": "916-786-6727",
            "fax_number": "916-786-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GIBSON DR STE 270",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785795",
            "telephone_number": "916-786-6727",
            "fax_number": "916-786-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITA UPADHYAY MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "UPADHYAY",
        "authorized_official_first_name": "AMITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-786-6727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseville Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Child & Adolescent Psychiatry Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.