Active NPI
Heather Hall Scuderi, MD
- Psychiatry Physician
- Elk Grove, CA
National Provider Identifier
1407886989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G86039
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 86039 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lotus Center Incorporated | Psychiatry | Current | Accepting new patients |
| Heather Hall MD PC | Psychiatry | Current | Accepting new patients |
| Tele-Medicine Services Ny, PLLC | Past | 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
- 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.
-
- Psychiatry Physician
- Elk Grove, CA
- NPI 1760101802
-
- Psychiatry Physician
- Elk Grove, CA
- NPI 1861909863
-
- Radiology Clinic/Center
- Sacramento, CA
- NPI 1508936030
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1609663780
-
- Community/Behavioral Health Agency
- Davis, CA
- NPI 1134310428
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.