Individual provider Active NPI

Heather Hall Scuderi, MD

  • Psychiatry Physician
  • Elk Grove, CA
National Provider Identifier
1407886989
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G86039 Issued in CA
Practice address
9370 Studio CT Ste 100E
Elk Grove, CA 95758-8047
Phone
(916) 747-2346
Fax
(916) 747-0902
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 G86039 CA Primary

Addresses

Primary practice location

9370 Studio CT Ste 100E
Elk Grove, CA 95758-8047

Mailing address

9370 Studio CT Ste 100E
Elk Grove, CA 95758-8047
Phone (916) 747-2346

Other names 1

  • Heather Marie Hall Other name

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
I20090518000456 CA Practitioner - Psychiatry 2466501648 Practice locations: Elk Grove, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Hahnemann University College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9370 Studio CT
Suite 100E
Elk Grove, CA 95758-8047
Phone (650) 455-5507

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86039CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Lotus Center Incorporated Psychiatry CurrentSince Dec 27, 2017 Accepting new patients
Heather Hall MD PC Psychiatry CurrentSince Aug 28, 2022 Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients
Turning Point Community Programs Past Accepting new patients
County of Sacramento Past Accepting new patients

Locations

9245 Laguna Springs Dr
Ste 200
Elk Grove, CA 95758
Phone (916) 632-1330

9370 Studio Ct
Ste 100E
Elk Grove, CA 95758
Phone (916) 747-2346

Interoperability endpoints

  • Direct secure messaging: heather.hall.scuderi.1@31724.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1407886989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 STUDIO CT STE 100E",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588047",
            "telephone_number": "916-747-2346",
            "fax_number": "916-747-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 STUDIO CT STE 100E",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588047",
            "telephone_number": "916-747-2346",
            "fax_number": "916-747-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL SCUDERI",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G86039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HALL",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.